Individual
MS. LOURDES ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
145 MICHIGAN ST NE STE 2200, GRAND RAPIDS, MI 49503-2562
(616) 486-7075
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704431136
MI
Other
Enumeration date
07/27/2016
Last updated
03/12/2026
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