Provider Demographics
NPI:1497023311
Name:PEACE, LAUREN WHITNEY
Entity Type:Individual
Prefix:MISS
First Name:LAUREN
Middle Name:WHITNEY
Last Name:PEACE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 BRIDGE RD
Mailing Address - Street 2:811
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-8200
Mailing Address - Country:US
Mailing Address - Phone:513-404-3953
Mailing Address - Fax:
Practice Address - Street 1:5900 BRIDGE RD
Practice Address - Street 2:811
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-8200
Practice Address - Country:US
Practice Address - Phone:513-404-3953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-06
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula