| Lisa Velez, Pllc | |
|
59478 Roberts Rd Three Rivers MI 49093-9141 | |
| (269) 535-0152 | |
| Not Available |
| Full Name | Lisa Velez, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 59478 Roberts Rd, Three Rivers, Michigan |
| Authorized Official Name and Position | Lisa Ann Velez (OWNER) |
| Authorized Official Contact | 2695350152 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Velez, Pllc 14987 Millard Rd Three Rivers MI 49093-8227 Ph: (269) 535-0152 | Lisa Velez, Pllc 59478 Roberts Rd Three Rivers MI 49093-9141 Ph: (269) 535-0152 |
| NPI Number | 1619560182 |
|---|---|
| Provider Enumeration Date | 02/16/2021 |
| Last Update Date | 06/30/2021 |
| Certification Date | 06/30/2021 |
| Medicare PECOS PAC ID | 1254734890 |
|---|---|
| Medicare Enrollment ID | O20210720003619 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619560182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Lisa Ann Velez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205800968 PECOS PAC ID: 3072916618 Enrollment ID: I20210721000971 |
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