Organization
VEIN ENVY LLC
Active
Organization
VEIN ENVY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMETHYST LAFLEUR (BILLER/CODER/CREDENTIALING SPEC)
(623) 233-1050
Entity
Organization
Contact information
Practice address
14044 W CAMELBACK RD STE 226, LITCHFIELD PARK, AZ 85340-9426
(623) 233-1050
(623) 248-6952
Mailing address
14044 W CAMELBACK RD STE 226, LITCHFIELD PARK, AZ 85340-9426
(623) 233-1050
(623) 248-6952
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
006421
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47-4987836
—
AZ
05
—
615010283
—
AZ
Enumeration date
05/11/2018
Last updated
04/22/2022
Update your record
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