NPI 1003390113

Lauren Yoon Baltierra, OD

Practitioner Optometrist Woodhaven, MI

Practice location

Address: 22750 Allen Rd, Woodhaven, MI 48183-2246
Phone: (734) 676-4300
Fax: (734) 676-5348
Mailing address: 1950 Old Gallows Rd STE 520, Vienna, VA 22182-3970

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 4901005161 (MI)

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Registry record

NPI: 1003390113
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Sep 2018
Record last updated: 29 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.