Provider Demographics
NPI:1437637907
Name:PLANT, LAUREN M (OTRL, MSOT)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:M
Last Name:PLANT
Suffix:
Gender:F
Credentials:OTRL, MSOT
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:REPPUHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9368 N LILLEY RD
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-4610
Mailing Address - Country:US
Mailing Address - Phone:248-698-1277
Mailing Address - Fax:248-698-2089
Practice Address - Street 1:9178 HIGHLAND RD STE 2
Practice Address - Street 2:
Practice Address - City:WHITE LAKE
Practice Address - State:MI
Practice Address - Zip Code:48386-4619
Practice Address - Country:US
Practice Address - Phone:248-698-1277
Practice Address - Fax:248-698-2089
Is Sole Proprietor?:No
Enumeration Date:2018-08-06
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201009476225X00000X
225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand