Individual
LARA A FREEBURGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
330 BARCLAY AVE NE, SUITE 304, GRAND RAPIDS, MI 49503-2556
(616) 391-2160
(616) 391-2683
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
(616) 391-2160
(616) 391-2683
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301066218
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821102013
—
MI
05
—
4132151
—
MI
Enumeration date
08/18/2006
Last updated
03/11/2021
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