Lauren Carroll, MD
Individual provider Active NPI Internal Medicine Physician · Detroit, MI
NPI 1346561776 · NPPES record last updated Jun 21, 2010
Key facts
- NPI
- 1346561776
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 4301096653 (MI)
- Practice address
- 50 E Canfield St
Detroit, MI 48201-1804 - Phone
- (313) 745-6960
- Fax
- (313) 966-7305
- NPI assigned
- Jun 21, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301096653 | MI | MD | Internal Medicine Physician |
Interoperability endpoints
- lcarroll@direct.dmc.org
- lcarroll@ahcdetroit.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301096653 | MI | Yes |
| Pediatrics Physician | 208000000X | 4301096653 | MI |
Addresses
Primary practice location
50 E Canfield St
Detroit, MI 48201-1804
Mailing address
4201 Saint Antoine St
Uhc 5C
Detroit, MI 48201-2153
Phone (313) 577-4342
Other providers in Detroit, MI
- Aaniya Jackae Carroll
- Catherine Lynn Carroll
- Deven Carroll
- Fiona G Carroll
- Lachelle Sophia Carroll
- Robyn T Carroll
- Carson Adult Foster Care, Inc.
- Carson Afc, Inc.
- Lashawntelle Latrice Carson-Pops
- John H Carson
All providers in Detroit, MI · Internal Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2010. 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.