Individual
LORY MICHELLE READ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
418 WASHINGTON ST, LAKEVIEW, MI 48850-9806
(989) 352-6474
(989) 352-8451
Mailing address
3700 52ND ST SE, GRAND RAPIDS, MI 49512-9637
(616) 656-3700
(616) 656-0898
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101015790
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4913900
—
MI
01
—
LR015790
BCBS
MI
Enumeration date
06/08/2006
Last updated
02/17/2020
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