| Doctor Name: | MARIE A LANEUVILLE |
| NPI Number: | 1356731954 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | 5501012042 |
| Business Practice Address: | 25 Michigan St Ne Suite 3300 Grand Rapids, MI - 495032515 |
| Business Phone Number: | 6164594171 |
| Business Fax Number: | 6164590044 |
| Mailing Address: | 25 Michigan St Ne, Suite 3300 GRAND RAPIDS |
| State: | MI |
| Postal Code: | 495032515 |
| Phone Number: | 6164594171 |
| Fax Number: | 6164590044 |
| NPI Enumeration Date: | 02/03/2015 |
| NPI Last Update Date: | 02/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 5501012042 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |