Individual
DR. LYDIA A. MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3019 COIT AVE NE, GRAND RAPIDS, MI 49505-3376
(616) 365-9575
Mailing address
2255 FALCON LN SE, ADA, MI 49301-9200
(616) 676-3282
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301044966
MI
Other
Enumeration date
07/15/2006
Last updated
07/08/2007
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