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Individual

MR. LONSON LEE BARR

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1945 BOSTON ST SE, STE 303, GRAND RAPIDS, MI 49506
(616) 246-6262
(616) 246-8737
Mailing address
1945 BOSTON ST SE, STE 303, GRAND RAPIDS, MI 49506
(616) 246-6262
(616) 246-8737

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101005711
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1767521
MI
Enumeration date
04/08/2006
Last updated
07/09/2007
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