LYDIA VANWORMER

GRAND RAPIDS, MI
NPI1750778221
Former NameLYDIA WUNSCH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NY  699344)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: NC  257519)
Enumeration Date2015-04-22
Last Update Date2018-03-17
Business Address
LYDIA VANWORMER
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503-4502
Phone number: 616-685-5000
Mailing Address
LYDIA VANWORMER
2017 COPPER LEAF PKWY APT. 207
DURHAM, NC 27703-7749
Phone number: 850-501-8316