| Lavange Barth Llc | |
|
400 Monroe Ave Nw Ste 400 Grand Rapids MI 49503-1476 | |
| (616) 913-8590 | |
| Not Available |
| Full Name | Lavange Barth Llc |
|---|---|
| Speciality | Social Worker |
| Location | 400 Monroe Ave Nw Ste 400, Grand Rapids, Michigan |
| Authorized Official Name and Position | Lavange Barth (OWNER) |
| Authorized Official Contact | 6169138590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lavange Barth Llc 848 Graceland St Ne Grand Rapids MI 49505-4376 Ph: (616) 913-8590 | Lavange Barth Llc 400 Monroe Ave Nw Ste 400 Grand Rapids MI 49503-1476 Ph: (616) 913-8590 |
| NPI Number | 1124643689 |
|---|---|
| Provider Enumeration Date | 06/10/2020 |
| Last Update Date | 06/10/2020 |
| Certification Date | 06/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124643689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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