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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA MARIE HYDE, PA-C

Active

LISA MARIE HYDE, PA-C is a Physician Assistant healthcare provider located in GRAND RAPIDS, Michigan. NPI 1558602888 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · GRAND RAPIDS, MI

Registration Details

NPI Number
1558602888
Provider Type
Individual
Gender
Female
NPI Issued
Mar 12, 2013 (13.445799391205 yrs)
Last Updated
Nov 27, 2023
License
5601006602 (MI)

Practice Information

Address
655 KENMOOR AVE SE STE 201
GRAND RAPIDS, MI, 495468604
Browse MI providers · Browse ZIP 49546
Phone
6169200825
Fax
6169200830
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in GRAND RAPIDS, MI

Name Credential NPI
MRS. JACQUELINE S JOHANSON P.A.-C 1952304982
RENEE K SALYER P.A-C 1760481386
MR. JOHN C HENDRICKS PA-C 1992705610
CHERYL ANN SCHMITT PA-C 1851391031
LARA ELIZABETH EVANS PA-C 1356343933
BENJAMIN P LOYD PA-C 1174515167
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.