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Contact Information

LORRIE J OLDHAM, DO
200 JEFFERSON AVE SE
GRAND RAPIDS, MI49503-4502
 Phone: 616-752-6090
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for LORRIE J OLDHAM · (Female)

NPI # 1295789790
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/19/2006
Last updated 03/12/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • GU License # DOC-053
  • MI License # 5101013310
Hospital affiliation(s)
  • BEAUFORT COUNTY MEMORIAL HOSPITAL - (Acute Care)
    955 RIBAUT RD
    BEAUFORT, SC 29902
  • BEAUFORT COUNTY MEMORIAL HOSPITAL - (Acute Care)
    955 RIBAUT RD
    BEAUFORT, SC 29902
  • CAPE FEAR VALLEY MEDICAL CENTER - (Acute Care)
    1638 OWEN DRIVE P O BOX 2000
    FAYETTEVILLE, NC 28302
  • CAPE FEAR VALLEY MEDICAL CENTER - (Acute Care)
    1638 OWEN DRIVE P O BOX 2000
    FAYETTEVILLE, NC 28302
  • RAPIDES REGIONAL MEDICAL CENTER - (Acute Care)
    211 4TH STREET
    ALEXANDRIA, LA 71301
  • RAPIDES REGIONAL MEDICAL CENTER - (Acute Care)
    211 4TH STREET
    ALEXANDRIA, LA 71301
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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