Healthcare Provider Details

I. General information

NPI: 1598908444
Provider Name (Legal Business Name): RACHEL LYNN LAARMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2009
Last Update Date: 07/30/2024
Certification Date: 07/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6150 NORTHLAND DRIVE
ROCKFORD MI
49341
US

IV. Provider business mailing address

3434 RIVERTOWN POINT CT SW
GRANDVILLE MI
49418-3076
US

V. Phone/Fax

Practice location:
  • Phone: 616-942-9343
  • Fax: 616-942-2538
Mailing address:
  • Phone: 616-257-3344
  • Fax: 616-257-1491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number4301110880
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207NP0225X
TaxonomyPediatric Dermatology Physician
License Number4301110880
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: