Lauren Clark
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Ada, MI
NPI 1265949549 · NPPES record last updated Jan 8, 2018
Key facts
- NPI
- 1265949549
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 9801 Fulton St E
Ada, MI 49301-8915 - Phone
- (616) 240-4936
- Fax
- (616) 240-4936
- NPI assigned
- Jan 8, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
9801 Fulton St E
Ada, MI 49301-8915
Mailing address
9801 Fulton St E
Ada, MI 49301-8915
Phone (616) 240-4936
Other providers in Ada, MI
- Claire Burch
- Kathleen Burmania
- Mary Butlevics
- James Jacob Byington
- Marissa Caton
- Clearview Counseling LLC
- Close Call Consulting LLC
- Concierge Medicine of Grand Rapids
- Connection Counseling LLC
- Cheryl Lynn Cooper
All providers in Ada, MI · Student in an Organized Health Care Education/Training Program in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.