Individual provider · Type 1 NPI

Lori Sue Nieboer, P.A.-C

Medical Physician Assistant · Rockford, MI

NPI number 1174810667 Active

About NPI 1174810667

Lori Sue Nieboer, P.A.-C's National Provider Identifier is 1174810667, issued on Jul 5, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rockford, MI. The record was last updated on Feb 2, 2023.