Individual
LISA LEROND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
245 STATE ST SE, GRAND RAPIDS, MI 49503-4328
(616) 685-1800
(616) 685-1818
Mailing address
245 STATE ST SE, GRAND RAPIDS, MI 49503-4328
(616) 685-1808
(616) 685-1850
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002218
MI
Other
Enumeration date
05/24/2006
Last updated
12/14/2021
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