| Organization Name: | ALEDA E. LUTA VETERANS ADMINISTRATION MEDICAL CENTER |
| NPI Number: | 1124124508 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROXANA SOVA (FAMILY NURSE PRACTITIONER-MSN, APRN) |
| Mailing Address: | 10295 Sarle Rd Freeland |
| State: | MI US |
| Postal Code: | 486239012 |
| Phone Number: | 9896955041 |
| Fax Number: | |
| NPI Enumeration Date: | 09/15/2006 |
| NPI Last Update Date: | 06/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 286500000X |
| License Number: | 4704118146 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Military Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A health care facility operated by the Department of Defense. |