COURTNEY ANNE LANE

GRAND RAPIDS, MI
NPI1720410400
Former NameCOURTNEY ANNE PHILLIPS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner Gerontology
(Licence: MI  4704300862)
Enumeration Date2013-08-05
Last Update Date2022-08-12
Business Address
COURTNEY ANNE LANE CNP
145 MICHIGAN ST NE SUITE 4100
GRAND RAPIDS, MI 49503
Phone number: 616-486-5993
Mailing Address
COURTNEY ANNE LANE CNP
145 MICHIGAN ST NE SUITE 4100
GRAND RAPIDS, MI 49503
Phone number: 616-486-5993
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