Provider Demographics
NPI:1932770583
Name:VETETO, LEE A
Entity Type:Individual
Prefix:
First Name:LEE
Middle Name:A
Last Name:VETETO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2468 HAMPSFORD CIR
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43617-1249
Mailing Address - Country:US
Mailing Address - Phone:502-472-6256
Mailing Address - Fax:
Practice Address - Street 1:2468 HAMPSFORD CIR
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43617-1249
Practice Address - Country:US
Practice Address - Phone:502-472-6256
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-06
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care