Individual
LUCIA VELLENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5303 S CEDAR ST STE 116, LANSING, MI 48911-3800
(517) 346-8000
Mailing address
812 E JOLLY RD STE 311, LANSING, MI 48910-6821
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704206732
MI
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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