Doctor profile · Federal record
Dr. Lara de Stefano, MD
Psychiatry Physician · Grand Rapids, MI
- NPI 1174018337
- 8 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
35 Michigan St Ne Ste 5201
Grand Rapids, MI 495032530
(616) 267-2830 - Mailing address
-
100 Michigan St Ne # Mc845
Grand Rapids, MI 495032560
Credentials & registration
- NPI registered
- June 2018 — 8 yrs on file
- Profile last updated
- July 31, 2023
- Specialty taxonomy
- 2084P0800X — NUCC code
- State license (1)
- Michigan #4301115252
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1174018337. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$23
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Supernus Pharmaceuticals, INC. | 1 | $23.00 |
By nature of payment
Frequently asked questions
What is Dr. Lara de Stefano's medical specialty?
Dr. Lara de Stefano practices Psychiatry Physician in Grand Rapids, MI.
Where does Dr. Lara de Stefano practice?
Dr. Lara de Stefano practices at 35 Michigan St Ne Ste 5201, Grand Rapids, MI 495032530. Office phone: 6162672830.
What is Dr. Lara de Stefano's NPI?
Dr. Lara de Stefano's National Provider Identifier (NPI) is 1174018337, issued by NPPES.