Provider Demographics
NPI:1396192472
Name:VOCKE, LAUREN (DO)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:VOCKE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3101 DISCOVERY DR STE 400
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-8546
Mailing Address - Country:US
Mailing Address - Phone:517-975-3750
Mailing Address - Fax:517-975-3755
Practice Address - Street 1:3101 DISCOVERY DR STE 400
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-8546
Practice Address - Country:US
Practice Address - Phone:517-975-3750
Practice Address - Fax:517-975-3755
Is Sole Proprietor?:No
Enumeration Date:2016-05-19
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5151011707390200000X
MI5101025108207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program