DIANA LIGHTFOOT

GRAND RAPIDS, MI
NPI1053414128
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601004545)
Enumeration Date2006-09-06
Last Update Date2007-07-08
Business Address
DIANA LIGHTFOOT PA
2332 ALPINE AVE NW
GRAND RAPIDS, MI 49544-1955
Phone number: 616-391-6220
Mailing Address
DIANA LIGHTFOOT PA
100 MICHIGAN ST NE MC 109 ATTN JULIE L
GRAND RAPIDS, MI 49503-2560
Phone number:
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