Individual
DERICK J LENTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
664 MICHIGAN AVE, HOLLAND, MI 49423-4944
(616) 392-5973
(616) 392-1646
Mailing address
664 MICHIGAN AVE, HOLLAND, MI 49423-4944
(616) 392-5973
(616) 392-1646
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
DL025521
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1423146
—
MI
Enumeration date
12/14/2005
Last updated
06/18/2010
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