Individual
LOURDES VELEZ
Active
Individual
LOURDES VELEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301405581
MI
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
4301405581
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3516324
—
MI
Enumeration date
10/11/2006
Last updated
10/24/2011
Update your record
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