MEDICARE: MRS. ALLISON ANNE VANDER LUGT AGNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LG0600X	Gerontology Nurse Practitioner	4704279125	MI

General Provider Information

NPI Number	:	1134660061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALLISON ANNE VANDER LUGT AGNP-C

Provider Business Mailing Address
First Line	:	100 MICHIGAN ST NE # MC845
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49503-2560
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7751 BYRON CENTER AVE SW STE C
Second Line	:
City	:	BYRON CENTER
State	:	MI
Zip	:	49315-8001
Country	:	US
Telephone Number	:	616-267-0357
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2017
Last Update Date	:	06/10/2026

Similar Medicare Providers

1518959295 — DR. BONNIE JEAN LEES MD
Practice Location Address:

8200 DODGE STREET , CHILDREN'S HOSPITAL & MEDICARE CENTER
OMAHA, NE
68114-4113

Practice Phone: 402-955-6140
Practice Fax: 402-955-3398

1548262983 — PATRICE MARIE WHITAKER APRN-BC
Practice Location Address:

7751 BYRON CENTER AVE SW , SUITE C
BYRON CENTER, MI
49315-8001

Practice Phone: 616-267-7668
Practice Fax:

1932185667 — JASON ROBERT HAARTMAN P.A.
Practice Location Address:

7751 BYRON CENTER AVE SW STE C
BYRON CENTER, MI
49315-8001

Practice Phone: 616-267-7668
Practice Fax:

1114997624 — BRENDA LEE GRAHAM
Practice Location Address:

7751 BYRON CENTER AVE SW , SUITE C
BYRON CENTER, MI
49315-8001

Practice Phone: 616-267-7668
Practice Fax:

1902870918 — MARION G WENDT NP
Practice Location Address:

7751 BYRON CENTER AVE SW , SUITE C
BYRON CENTER, MI
49315-8001

Practice Phone: 616-267-7668
Practice Fax: 616-356-1941

1730153495 — RYAN PENNING GENZINK P.A.
Practice Location Address:

7751 BYRON CENTER AVE SW STE C
BYRON CENTER, MI
49315-8001

Practice Phone: 616-267-7668
Practice Fax:

Directions to “ MRS. ALLISON ANNE VANDER LUGT AGNP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.