Individual
DR. LEWIS DEKUIPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
750 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-6049
(800) 968-2600
(616) 954-0213
Mailing address
750 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-6049
(800) 968-2600
(616) 954-0213
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002259
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2940247
—
MI
Enumeration date
01/31/2006
Last updated
02/20/2012
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