Individual
MS. MELISSA LICHTENWALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
717 N CENTER DR NW, GRAND RAPIDS, MI 49544-8215
(616) 451-2039
Mailing address
717 N CENTER DR NW, GRAND RAPIDS, MI 49544-8215
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704221429
MI
Other
Enumeration date
05/06/2024
Last updated
10/09/2024
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