Dr. Chona Bacay Lastimosa
Family Doctor - Adult Medicine
39450 W 12 Mile Rd Henry Ford Medical Center--Columbus
Novi
, Michigan 48377-3600
Dr. Chona Bacay Lastimosa
Family Doctor - Adult Medicine
39450 W 12 Mile Rd Henry Ford Medical Center--Columbus
Novi
, Michigan 48377-3600
(248) 661-7393
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Dr. Chona Bacay Lastimosa
- 39450 W 12 Mile Rd Henry Ford Medical Center--Columbus
- Novi, MI
- Zip : 48377-3600
- Phone : (248) 661-7393
Second Address
- Dr. Chona Bacay Lastimosa
- 39450 W 12 Mile Rd Henry Ford Medical Center--Columbus
- Novi, MI
- Zip : 48377-3600
- Phone : (248) 661-7393
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | 4301093407 | MI |
National Provider Identifier
| NPI | 1124298047 |
|---|---|
| Provider Name | Dr. Chona Bacay Lastimosa |
| First Address | Novi, MI 48377-3600 |
| Second Address | Novi, MI 48377-3600 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/03/2008 |
| Last Update Date | 05/01/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.