Natalie Joan Lares, DO | |
19000 St Joes Pkwy Ste 310, Livonia, MI 48152-1477 | |
(734) 743-4540 | |
Not Available |
Full Name | Natalie Joan Lares |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 19000 St Joes Pkwy Ste 310, Livonia, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255786612 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 5101025693 (Michigan) | Primary |
Entity Name | The Mel Bornstein Clinic For Psychoanalysis And Psychotherapy |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023546389 PECOS PAC ID: 1658622519 Enrollment ID: O20190408000516 |
Entity Name | Iha Olma Specialty 1 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891371118 PECOS PAC ID: 6901206689 Enrollment ID: O20210617000949 |
Mailing Address | Practice Location Address |
---|---|
Natalie Joan Lares, DO 41000 Woodward Ave Ste 350, Bloomfield Hills, MI 48304-5092 Ph: (248) 325-8857 | Natalie Joan Lares, DO 19000 St Joes Pkwy Ste 310, Livonia, MI 48152-1477 Ph: (734) 743-4540 |
Dr. Sridevi Kodali, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 17940 Farmington Rd, Suite 230, Livonia, MI 48152 Phone: 734-422-4748 Fax: 734-422-5076 | |
Dr. Carol Denise Crouch-ross, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 19811 Farmington Rd, Livonia, MI 48152 Phone: 248-888-0088 Fax: 248-888-0060 | |
Dr. Anastazia Novatchinski Semple, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 19000 St. Joes Parkway, Ste 310, Livonia, MI 48152 Phone: 734-743-4540 Fax: 734-743-4541 | |
Dr. Samuel H Wedes, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 36475 Five Mile Rd, Livonia, MI 48154 Phone: 734-655-5438 Fax: 734-655-4287 | |
Dr. Shama Patil, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 31500 Schoolcraft Rd, Livonia, MI 48150 Phone: 734-422-9340 | |
Dr. Leslee A Emerson, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 38807 Ann Arbor Rd Ste 7, Livonia, MI 48150 Phone: 734-953-6734 | |
Dr. Christopher Busuito, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 19000 St. Joe's Parkway, Ste 310, Livonia, MI 48152 Phone: 734-743-4540 Fax: 734-743-4541 |