Most Relevant Information
Provider Data
  | NPI Number: | 1003309345 | 
| Provider Name: | LAUREN J VERSTRAETE DO | 
| Entity Type: | Individual | 
| Taxonomy Code: | 390200000X | 
| Specialty: | Student in an Organized Health Care Education/Training Program | 
| License Number: | 
Most Important Dates
  | Enumeration Date: | 06/12/2018 | 
| Last Updated: | 07/08/2021 | 
Provider Practice Location
  955 S BAILEY AVE FL 2
      
      SOUTH HAVEN
      MI
      490906743
  Practice Location Phone/Fax
      | Phone: | 2696392772 | 
| Fax: | 
Provider Mailing Location
  1125 7TH AVE
      
      BEAVER FALLS
      PA
      150104426
  Provider Mailing Phone/Fax
      | Phone: | 7247738900 | 
| Fax: | 7247707947 |