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NPI 1295789790

IndividualActive

Lorrie Oldham, DO

NPI 1295789790 · Critical Care Medicine (Internal Medicine) Physician · Grand Rapids, MI

Provider details

NPI number: 1295789790
Entity type: Individual
Primary specialty: Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
Credential: DO
Sex: Female
Sole proprietor: No
License: 5101013310 (MI)

Specialties & taxonomies

Critical Care Medicine (Internal Medicine) PhysicianPrimary207RC0200XLicense 5101013310 (MI)
Allopathic & Osteopathic Physicians
Surgery Physician208600000XLicense 5101013310 (MI)
Allopathic & Osteopathic Physicians
Critical Care Medicine (Internal Medicine) Physician207RC0200XLicense DOC-053 (GU)
Allopathic & Osteopathic Physicians

Practice location

200 Jefferson Ave Se

Grand Rapids, MI 49503-4502

Phone: (616) 752-6090

Approximate (ZIP-level) locationGet directions

More MI providers

Mailing address

245 State St Se

Grand Rapids, MI 49503-4328

Additional practice locations (1)

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone: (910) 615-7392

Registry dates

Enumerated: 2006-05-19
Last updated: 2026-03-12
Certified: 2026-03-12

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Lorrie Oldham, DO — NPI 1295789790, Grand Rapids, MI | NPI Central