Individual
MATTHEW JORDAN LAMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4334 GLEN HOLLOW DR, HUDSONVILLE, MI 49426-9107
(616) 826-9034
Mailing address
4334 GLEN HOLLOW DR, HUDSONVILLE, MI 49426-9107
(616) 826-9034
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
310400000X
Assisted Living Facility
—
—
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L562589433050
DRIVERS LICENSE
MI
Enumeration date
04/24/2024
Last updated
04/24/2024
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