Lydia Fales, PA-C

NPI 1962116962 · on the registry since 2023 · sole proprietor

Practice

Address: 4100 Embassy Dr Se Ste 400
Grand Rapids, MI 49546
Phone: (616) 988-8220
Fax: (616) 957-3220
Organisation at this address: Emergency Care Specialists Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 22

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-01-24

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