Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. REBECCA RED LACKS, M.D.
Active Sole ProprietorMRS. REBECCA RED LACKS, M.D. is a Obstetrics & Gynecology healthcare provider located in GRAND RAPIDS, Michigan. NPI 1689013971 is currently active in the NPPES registry. Verify at CMS.
Obstetrics & Gynecology · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1689013971
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 19, 2013 (13.17748196615 yrs)
- Last Updated
- Dec 30, 2013
- License
-
4301103209 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
330 BARCLAY AVE NESUITE 102GRAND RAPIDS, MI, 495032556Browse MI providers · Browse ZIP 49503
- Phone
- 6163912160
- Primary Specialty
-
Obstetrics & Gynecology
207V00000X
Other Obstetrics & Gynecology Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| DR. PETER MARKS | MD | 1811991581 |
| DR. ANDREA C WOLFE | MD | 1043214794 |
| MICHELLE A KLYN | MD | 1235133992 |
| JERRY WITTINGEN | M.D | 1477557031 |
| CALVIN LEAZENBY | M.D | 1588668248 |
| MICHELLE BACKUS-WALZER | M.D. | 1124011531 |
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.