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

Individual provider Skilled Nursing Facility · NPI 1922296730

Mrs. Lisa Ann Mervenne, OTR is a Skilled Nursing Facility in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2007
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

2520 Lake Michigan Dr NW
Grand Rapids, MI 49504-4696
Phone: (616) 735-6050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 5201000452 (MI)

Record details

NPI number1922296730
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorYes
NPI enumeratedOctober 5, 2007
Last updated in NPPESOctober 5, 2007

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