Individual provider · Type 1 NPI
Lucy Ledesma, NP
Adult Health Nurse Practitioner · Grand Rapids, MI
NPI number
1114395803
Active
Practice location
310 Lafayette Ave SE, Ste 410
Grand Rapids, MI 49503-4693
Mailing address
1900 44th St SE
Grand Rapids, MI 49508-5008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 4704232926 (MI) |
Adult Health Nurse Practitioner: Definition to come...
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- Molly Jane Tiesenga, APRNAdult Health Nurse Practitioner Grand Rapids, MI NPI 1063977932
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About NPI 1114395803
Lucy Ledesma, NP's National Provider Identifier is 1114395803, issued on Sep 11, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Grand Rapids, MI. The record was last updated on Dec 2, 2021.