Individual provider · Type 1 NPI

Elena Lafata, MD

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1356197628 Active

Practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Call (313) 916-8445 Map

Mailing address

26747 Menge Ct
Warren, MI 48091-4052

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X4351054173 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1356197628

Elena Lafata, MD's National Provider Identifier is 1356197628, issued on Apr 27, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on May 13, 2025.