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 Date2018-09-20
Business Address
LARA DENGERINK-VANTIL RN
245 CHERRY ST SE STE 200
GRAND RAPIDS, MI 49503
Phone number: 616-685-3330
Mailing Address
LARA DENGERINK-VANTIL RN
1900 44TH ST SE
KENTWOOD, MI 49508-5008
Phone number: