Individual
LAVANYA KUMAR RAGHAV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LAFAYETTE AVE, SUITE 300, GRAND RAPIDS, MI 49503
(616) 685-6919
(616) 685-3063
Mailing address
200 JEFFERSON AVE, SUITE 305, GRAND RAPIDS, MI 49503
(616) 685-4615
(616) 685-3033
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4351054834
MI
Other
Enumeration date
06/11/2025
Last updated
08/11/2025
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