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1174018337
LARA DE STEFANO
GRAND RAPIDS, MI
NPI
1174018337
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MI 4301115252)
Enumeration Date
2018-06-28
Last Update Date
2023-07-31
Business Address
LARA DE STEFANO MD
35 MICHIGAN ST NE STE 5201
GRAND RAPIDS, MI 49503-2530
Phone number: 616-267-2830
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Mailing Address
LARA DE STEFANO MD
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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