Provider Demographics
NPI:1760702609
Name:VOSS, LISA MARIE (DO)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:MARIE
Last Name:VOSS
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:412 PLYMOUTH AVE NE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49505-6028
Mailing Address - Country:US
Mailing Address - Phone:616-780-2324
Mailing Address - Fax:
Practice Address - Street 1:412 PLYMOUTH AVE NE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49505-6028
Practice Address - Country:US
Practice Address - Phone:616-780-2324
Practice Address - Fax:616-431-2407
Is Sole Proprietor?:No
Enumeration Date:2010-06-02
Last Update Date:2023-05-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5101018604208100000X, 2081P0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPediatric Rehabilitation Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation