Provider Demographics
NPI:1477661908
Name:SEAVER, LAURIE HERON (MD)
Entity Type:Individual
Prefix:DR
First Name:LAURIE
Middle Name:HERON
Last Name:SEAVER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LAURIE
Other - Middle Name:LYNN
Other - Last Name:HERON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:100 MICHIGAN ST NE
Mailing Address - Street 2:MC-845
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49503-2560
Mailing Address - Country:US
Mailing Address - Phone:616-391-2700
Mailing Address - Fax:616-391-3114
Practice Address - Street 1:25 MICHIGAN ST NE
Practice Address - Street 2:SUITE 2000
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49503-2515
Practice Address - Country:US
Practice Address - Phone:616-391-2700
Practice Address - Fax:616-391-3114
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-12975207SG0201X
MI4301109090207SG0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIF07489Medicare UPIN
MI0M33350Medicare PIN