LYDIA FALES

GRAND RAPIDS, MI
NPI1962116962
Former NameLYDIA DEN DULK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601011578)
Enumeration Date2023-01-13
Last Update Date2023-01-24
Business Address
LYDIA FALES PA-C
4100 EMBASSY DR SE STE 400
GRAND RAPIDS, MI 49546-2416
Phone number: 616-988-8220
Mailing Address
LYDIA FALES PA-C
4100 EMBASSY DR SE STE 400
GRAND RAPIDS, MI 49546-2416
Phone number: 616-570-2820
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