Individual
MRS. LISA MARIE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
426 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-8001
(616) 267-8338
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704282872
MI
Other
Enumeration date
03/20/2018
Last updated
11/11/2024
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