Lori Sue Nieboer, P.A.-C is a medical physician assistant in Grand Rapids, MI with 14 years of experience. Lori Sue Nieboer, P.A.-C NPI is 1174810667. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1800 TREMONT BLVD NW
GRAND RAPIDS, MI
ZIP 49504-868
Phone: (616) 791-6593
The NPI 1174810667 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/5/2011 and was last updated on 1/9/2012.