Provider Demographics
NPI:1407386352
Name:LAPORTE-MONTERO, KERI MEGAN
Entity Type:Individual
Prefix:
First Name:KERI
Middle Name:MEGAN
Last Name:LAPORTE-MONTERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:434 SWEET ST NE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49505-4762
Mailing Address - Country:US
Mailing Address - Phone:616-835-6586
Mailing Address - Fax:
Practice Address - Street 1:434 SWEET ST NE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49505-4762
Practice Address - Country:US
Practice Address - Phone:616-835-6586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator