Provider Demographics
NPI:1982495370
Name:LAVASSUER, LIAH MARIE
Entity type:Individual
Prefix:MISS
First Name:LIAH
Middle Name:MARIE
Last Name:LAVASSUER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2263 VINE AVE
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49442-4337
Mailing Address - Country:US
Mailing Address - Phone:231-531-0145
Mailing Address - Fax:
Practice Address - Street 1:2263 VINE AVE
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49442-4337
Practice Address - Country:US
Practice Address - Phone:231-531-0145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula