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LYDIA CHARLENE WOLLAK
NPI 1972155034
Technician, Other in East Grand Rapids, MI

Active since July 09, 2019
2814 WOODCLIFF CIR SE, EAST GRAND RAPIDS, MI 49506(855) 832-6727 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lydia Charlene Wollak NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYDIA CHARLENE WOLLAK (NPI 1972155034) is an individual technician, other provider in East Grand Rapids, Michigan and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1972155034
Entity TypeIndividualFemale
Primary Taxonomy247200000X
Provider Legal NameLYDIA CHARLENE WOLLAK
Location Address2814 WOODCLIFF CIR SEEast Grand Rapids, MI 49506-3155
Mailing Address154 W 33rd StHolland, MI 49423-7106
Phone(855) 832-6727
Sole ProprietorNo
Enumeration DateJuly 9, 2019
Last NPPES UpdateJanuary 18, 2024
NPPES CertifiedJanuary 18, 2024
✔ NPI 1972155034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
2814 WOODCLIFF CIR SE, East Grand Rapids, MI 49506
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Other Identifiers 1

Medicaid247200000XMI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELICA SALAS
Technician, Other
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI 49506
Kent County (855) 832-6727
ASHLEY DEFRIES RBT
Behavior Technician
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI 49506
Kent County (269) 325-8094
CHAWNEE SCOTT
Behavior Technician
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI 49506
Kent County (855) 832-6727
SHELBY EWIGLEBEN
Behavior Technician
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI 49506
Kent County (616) 430-5915
MR. MATTHEW COURTNEY POLOVICK-MOULDS JR.
Behavior Technician
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI 49506
Kent County (855) 832-6727
BESSY ANN BRALEY
Behavior Technician
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI 49506
Kent County (855) 832-6727
DANIEL JASON MATTHEWS
Behavior Technician
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI 49506
Kent County (855) 832-6727
LAUREN ELIZABETH KOLAR
Behavior Technician
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI 49506
Kent County (616) 469-3870

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lydia Wollak's NPI number?

The NPI number for Lydia Wollak is 1972155034. It was assigned to this individual provider in the NPPES registry on July 9, 2019.

Where is Lydia Wollak located?

Lydia Wollak practices at 2814 Woodcliff Cir SE, East Grand Rapids, MI 49506. The listed phone number is (855) 832-6727.

What is Lydia Wollak's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

What insurance does Lydia Wollak accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Lydia Wollak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lydia Wollak was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.