Basic Information
Provider Information
NPI: 1861698060
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALFIERI
FirstName: CRISTINA
MiddleName: LAKER
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 32457 SHERIDAN DR
Address2:  
City: BEVERLY HILLS
State: MI
PostalCode: 480254255
CountryCode: US
TelephoneNumber: 2487239242
FaxNumber:  
Practice Location
Address1: 4727 SAINT ANTOINE ST
Address2: SUITE 304
City: DETROIT
State: MI
PostalCode: 482011461
CountryCode: US
TelephoneNumber: 3137450499
FaxNumber: 3138338801
Other Information
ProviderEnumerationDate: 06/25/2007
LastUpdateDate: 10/27/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X4301080363MIY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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