Individual provider · Type 1 NPI

Brian Lafata

Student in an Organized Health Care Education/Training Program · Grand Rapids, MI

NPI number 1235921891 Active

Practice location

100 Cherry St SE
Grand Rapids, MI 49503-4526

Call (616) 965-8200 Map

Mailing address

3377 E Free Soil Rd
Free Soil, MI 49411-9604

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X5351017790 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1235921891

Brian Lafata's National Provider Identifier is 1235921891, issued on May 20, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Grand Rapids, MI. The record was last updated on May 20, 2025.