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Individual

LYDIA JOAN GERARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSN, RN

Contact information

Practice address
1060 HUNT ST, LOWELL, MI 49331-1079
(616) 325-9401
Mailing address
1060 HUNT ST, LOWELL, MI 49331-1079
(616) 325-9401

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704317569
MI

Other

Enumeration date
03/26/2019
Last updated
03/26/2019
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