Individual provider · Type 1 NPI

Lydia Charlene Wollak

Other Technician · East Grand Rapids, MI

NPI number 1972155034 Active

Practice location

2814 Woodcliff Cir SE
East Grand Rapids, MI 49506-3155

Call (855) 832-6727 Map

Mailing address

154 W 33rd St
Holland, MI 49423-7106

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1972155034

Lydia Charlene Wollak's National Provider Identifier is 1972155034, issued on Jul 9, 2019. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in East Grand Rapids, MI. The record was last updated on Jan 18, 2024.