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

Lara De Stefano, MD

Individual provider Psychiatry Physician · NPI 1174018337

Lara De Stefano, MD is a Psychiatry Physician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018
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

35 Michigan St NE Ste 5201
Grand Rapids, MI 49503-2530
Phone: (616) 267-2830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 4301115252 (MI)

Record details

NPI number1174018337
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2018
Last updated in NPPESJuly 31, 2023
Certification dateJuly 31, 2023
Mailing address100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560

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