Individual
LINDSAY CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6126 SPICA DR SE, GRAND RAPIDS, MI 49508-6691
(616) 818-5513
Mailing address
6126 SPICA DR SE, GRAND RAPIDS, MI 49508-6691
(616) 818-5513
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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