Search › Michigan › 106S00000X
Lideta Slomp
NPI 1679206627 · on the registry since 2022
Practice
- Address
- 551 36th St Se
Grand Rapids, MI 49548 - Phone
- (844) 244-1818
- Clinicians at this address
- 112
Additional practice sites
- 900 Park St Sw, Grand Rapids, MI
- 27777 Inkster Rd, Farmington Hills, MI
- 4211 Division Ave N Ste 100200, Comstock Park, MI
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Also registered as
- 103K00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan