Individual
MRS. DIANA LYNNE LEROUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2009 HOLTON RD, MUSKEGON, MI 49445-1578
(231) 291-8399
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704252967
MI
Other
Enumeration date
04/24/2019
Last updated
07/29/2022
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