Organization
LSD CENTER OF EXCELLENCE LLC
Active
Other names
LSD Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY S AGIM ANP-BC (NURSE PRACTITIONER)
(616) 540-9365
Entity
Organization
Contact information
Practice address
200 WOODLAND PASS STE D, EAST LANSING, MI 48823-2000
(616) 540-9365
Mailing address
3024 BONITA DR SE, GRAND RAPIDS, MI 49508-1424
(616) 540-9365
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
—
—
Other
Enumeration date
07/04/2025
Last updated
07/04/2025
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