LARA DENGERINK-VANTIL

GRAND RAPIDS, MI
NPI1679023501
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: MI  4704302218)
Enumeration Date2016-10-04
Last Update Date2024-10-28
Business Address
LARA DENGERINK-VANTIL NP
25 MICHIGAN ST NE STE 2100
GRAND RAPIDS, MI 49503-2526
Phone number: 616-391-3777
Mailing Address
LARA DENGERINK-VANTIL NP
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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