Provider Demographics
NPI:1467431031
Name:FEINSTEIN, LAINA (MD)
Entity Type:Individual
Prefix:
First Name:LAINA
Middle Name:
Last Name:FEINSTEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29829 TELEGRAPH RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-1330
Mailing Address - Country:US
Mailing Address - Phone:248-304-0786
Mailing Address - Fax:248-354-8559
Practice Address - Street 1:29829 TELEGRAPH RD
Practice Address - Street 2:SUITE 107
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-1330
Practice Address - Country:US
Practice Address - Phone:248-304-0786
Practice Address - Fax:248-354-8559
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-12
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MILF060074207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI452026010Medicaid
MI452026010Medicaid
0N75260Medicare ID - Type Unspecified