DR. Lisa J. Vredevoogd, M.D.

NPI #1487659868 in Holland, Michigan

Provider Information

NPI Number: 1487659868
Entity Type: Individual
Name: DR. Lisa J. Vredevoogd, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Ophthalmology
Credential: M.D.
Enumeration Date: Jun 14, 2005
Last Updated: Nov 11, 2015

Practice Location

Address: 205 W 29TH ST
Address 2: SUITE 50
City: Holland
State: Michigan
ZIP Code: 49423-6973
Phone: (616) 796-9995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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Organizations

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