NPI
Lisa Ann Mervenne
NPI 1922296730
Read from the NPPES registry on October 25, 2026.
Facts
- Status
- Active
- Credential
- O.T.R.
- Type
- Individual
- Enumeration date
- 2007-10-05
- Last updated
- 2007-10-05
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Specialties
Licenses
- License MI
- 5201000452
Location
- Practice location
- 2520 Lake Michigan Dr NW
- City
- Grand Rapids MI
- Postal code
- 49504-4696
- Phone
- (616) 735-6050
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Skilled Nursing Facility providers in Grand Rapids, MI. 39 with this primary taxonomy in the public file.
Other NPIs in Grand Rapids, MI. 20,911 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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