Individual
LUCAS JAMES ZWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4100 LAKE DR SE, SUITE 205, GRAND RAPIDS, MI 49546-8292
(616) 267-7414
(616) 267-7137
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006887
MI
Other
Enumeration date
11/28/2013
Last updated
02/23/2021
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