LACIE L FEDEWA

GRAND RAPIDS, MI
NPI1760764732
Former NameLACIE L LORKOWSKI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MI  4704254325)
Enumeration Date2011-09-15
Last Update Date2011-09-15
Business Address
-- LACIE L FEDEWA NP
3322 E BELTLINE CT NE
GRAND RAPIDS, MI 49525-9480
Phone number: 616-267-7015
Mailing Address
-- LACIE L FEDEWA NP
100 MICHIGAN ST NE MC845
GRAND RAPIDS, MI 49503-2560
Phone number: