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

Mrs. Rebecca Red Lacks, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1689013971

Mrs. Rebecca Red Lacks, MD is an Obstetrics/Gynecology in Grand Rapids, Michigan. Graduated from University of Tennessee, Hsc, College of Medicine in 2013, 13 years ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
13
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
MI
In the registry since
2013
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

330 Barclay Ave NE Ste 102
Grand Rapids, MI 49503-2556
Phone: (616) 391-2160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 4301103209 (MI)

Record details

NPI number1689013971
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 19, 2013
Last updated in NPPESDecember 30, 2013

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated

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