| NPI | 1649160375 |
|---|---|
| Doing Business As | LSD CENTER |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY S AGIM Nurse Practitioner 616-540-9365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) |
| Enumeration Date | 2025-07-04 |
| Last Update Date | 2025-07-04 |