NPI Code Details Logo

NPI 1669976569

NPI 1669976569 : LAURIE VELTRI PA-C : FARMINGTON HILLS, MI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1669976569
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    LAURIE VELTRI PA-C
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/23/2018
-----------------------------------------------------
    Last Update Date     |    02/12/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    31396 NORTHWESTERN HWY STE B 
-----------------------------------------------------
    City                 |    FARMINGTON HILLS
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48334-2534
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    248-731-7458
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    261 ARDMORE DR 
-----------------------------------------------------
    City                 |    FERNDALE
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48220-3319
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    419-708-5158
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2084P0800X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatry Physician
-----------------------------------------------------
    License Number       |    5601009904
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.