Individual provider · Type 1 NPI

Lara Mariel Osetinsky, MD

Otolaryngology Physician · Grand Rapids, MI

NPI number 1609283936 Active

Practice location

4069 Lake Dr SE Ste 315
Grand Rapids, MI 49546-8816

Call (616) 267-7758 Map

Mailing address

100 Michigan St NE, Mc 845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000X4301517179 (MI)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1609283936

Lara Mariel Osetinsky, MD's National Provider Identifier is 1609283936, issued on Jul 18, 2014. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 7, 2026.