Individual
GRACE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
577 MICHIGAN AVE, SUITE 101, HOLLAND, MI 49423-4911
(616) 393-2190
Mailing address
2974 CHICAGO DR SW, GRANDVILLE, MI 49418-1193
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000702
MI
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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