Individual
DR. LAURA LEIPHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5120 28TH ST SE, GRAND RAPIDS, MI 49512-2049
(708) 583-6990
(708) 402-9102
Mailing address
5120 28TH ST SE, GRAND RAPIDS, MI 49512-2049
(616) 222-4890
(616) 222-8008
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.295758
IL
183500000X
Pharmacist
Primary
5302036998
MI
Other
Enumeration date
06/08/2011
Last updated
02/13/2020
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