LARA DE STEFANO

GRAND RAPIDS, MI
NPI1174018337
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MI  4301115252)
Enumeration Date2018-06-28
Last Update Date2023-07-31
Business Address
LARA DE STEFANO MD
35 MICHIGAN ST NE STE 5201
GRAND RAPIDS, MI 49503-2530
Phone number: 616-267-2830
Mailing Address
LARA DE STEFANO MD
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number: