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 |