# EUGENE W LAVERONI JR DO PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437345378
- **Authorized official:** DR. EUGENE W LAVERONI JR. DO (OWNER)
- **Authorized official phone:** (248) 290-2940

## Contact information

- **Practice address:** 28080 GRAND RIVER AVE, STE 207N, FARMINGTON HILLS, MI 48336-5966
- **Practice address phone:** (248) 471-8829
- **Practice address fax:** (248) 471-8352
- **Mailing address:** 28080 GRAND RIVER AVE, STE 207N, FARMINGTON HILLS, MI 48336-5966
- **Mailing address phone:** (248) 471-8829
- **Mailing address fax:** (248) 471-8352

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/24/2007
- **Last updated:** 03/31/2008