Individual
LAURIE STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9200 YOUNG AVE NE, ROCKFORD, MI 49341-9322
(616) 874-5235
Mailing address
9200 YOUNG AVE NE, ROCKFORD, MI 49341-9322
(616) 874-5235
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/13/2015
Last updated
02/13/2015
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