Provider Demographics
NPI:1154068179
Name:MILLER, LAUREN JEANETTE (MD, MJ)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:JEANETTE
Last Name:MILLER
Suffix:
Gender:F
Credentials:MD, MJ
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:JEANETTE
Other - Last Name:ENGEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2800 PLYMOUTH RD # 35-1411
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48109-2800
Mailing Address - Country:US
Mailing Address - Phone:734-764-3270
Mailing Address - Fax:
Practice Address - Street 1:2800 PLYMOUTH RD # 35-1411
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-2800
Practice Address - Country:US
Practice Address - Phone:734-764-3270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-19
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program