Individual
DR. RENEE L. LOBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2700 FIVE MILE RD. NE, GRAND RAPIDS, MI 49525
(616) 361-6612
(616) 361-6690
Mailing address
2700 FIVE MILE RD. NE, GRAND RAPIDS, MI 49525
(616) 361-6612
(616) 361-6690
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
4901003334
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07450
PRIORITY HEALTH
MI
01
—
900D166330
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/10/2006
Last updated
06/25/2015
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