Most Relevant Information
Provider Data
| NPI Number: | 1003300310 |
| Provider Name: | ASHLEY LAUREN EK PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 5601008619 |
Most Important Dates
| Enumeration Date: | 06/20/2018 |
| Last Updated: | 07/10/2018 |
Provider Practice Location
1310 E BELTLINE AVE SE STE 130
GRAND RAPIDS
MI
495064303
Practice Location Phone/Fax
| Phone: | 6167175141 |
| Fax: | 6167175145 |
Provider Mailing Location
1310 E BELTLINE AVE SE
STE 130
GRAND RAPIDS
MI
495064303
Provider Mailing Phone/Fax
| Phone: | 6166486645 |
| Fax: |