Individual
LAUREN VACHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
72 SHELDON AVE SE, GRAND RAPIDS, MI 49503-4234
(616) 331-9830
(616) 331-9831
Mailing address
5073 WALLINGFORD DR NW, COMSTOCK PARK, MI 49321-9314
(313) 269-5961
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1518019223
MI
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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