Lori Sue Nieboer, PA-C
Lori Sue Nieboer, PA-C is a Physician Assistant in Rockford, Michigan. Qualified in 2010, 16 years ago. Practices with Metropolitan Hospital, a 422-clinician group and accepts Medicare assignment. Licensed in Georgia and Michigan.
- Years since qualifying
- 16
- Licensed in
- GA, MI
- In the registry since
- 2011
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
4685 Belding Rd NERockford, MI 49341-9605
Phone: (616) 252-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 5601006254 (MI) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence 006100 (GA) |
Record details
| NPI number | 1174810667 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | Yes |
| NPI enumerated | July 5, 2011 |
| Last updated in NPPES | February 2, 2023 |
| Certification date | February 2, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2010 (16 years in practice) |
| Group practice | Metropolitan Hospital — 422 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 6 on file with Medicare |
Other providers in Rockford
-
Travis Ryan Guest, PA-C
8501 Meadow Crk, Rockford, MI 49341 · (616) 267-7884