ROBERT FRANCIS LIDESTRI

GRAND RAPIDS, MI
NPI1952334427
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MI  4704158200)
Enumeration Date2006-07-08
Last Update Date2007-07-08
Business Address
Mr. ROBERT FRANCIS LIDESTRI NP
3019 COIT AVE NE
GRAND RAPIDS, MI 49505-3376
Phone number: 616-365-9575
Mailing Address
Mr. ROBERT FRANCIS LIDESTRI NP
351 ARTHUR ST
MARNE, MI 49435-8730
Phone number: 616-677-3200