Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Lara Mariel Osetinsky, MD

Individual provider Otolaryngology Physician · NPI 1609283936

Dr. Lara Mariel Osetinsky, MD is an Otolaryngology in Grand Rapids, Michigan. Graduated from University of Kentucky College of Medicine in 2014, 12 years ago. Licensed in Michigan.

Years since qualifying
12
Trained at
University of Kentucky College of Medicine
Licensed in
MI
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4069 Lake Dr SE Ste 315
Grand Rapids, MI 49546-8816
Phone: (616) 267-7758
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 4301517179 (MI)

Record details

NPI number1609283936
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 18, 2014
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated

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