Individual
VICTORIA LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
385 LEONARD ST NE, GRAND RAPIDS, MI 49503-1129
(616) 454-4777
Mailing address
2025 E BELTLINE AVE SE # 209310, GRAND RAPIDS, MI 49546-7630
(616) 301-2000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703083231
MI
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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