Individual
LORRAINE GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10868 HERMITAGE POINTE RD, MIDDLEVILLE, MI 49333-9277
(616) 808-7556
Mailing address
10868 HERMITAGE POINTE RD, MIDDLEVILLE, MI 49333-9277
(616) 808-7556
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703046464
MI
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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