IndividualActive
James Lebolt, DO
NPI 1245331941 · Sports Medicine (Orthopaedic Surgery) Physician · Grand Rapids, MI
Provider details
- NPI number
- 1245331941
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 5101015061 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2770 E Beltline Ave Ne
Grand Rapids, MI 49525-8614
Phone: (616) 267-8860
Fax: (616) 267-8442
Approximate (ZIP-level) locationGet directions
Mailing address
100 Michigan St Ne
Grand Rapids, MI 49503-2560
Registry dates
- Enumerated
- 2006-09-26
- Last updated
- 2024-11-05
- Certified
- 2024-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.