Provider Demographics
NPI:1770945289
Name:LAKIN, LAUREN ELIZABETH (AGPCNP-BC)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:ELIZABETH
Last Name:LAKIN
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Gender:F
Credentials:AGPCNP-BC
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Mailing Address - Street 1:39650 ORCHARD HILL PL
Mailing Address - Street 2:STE 100
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-5391
Mailing Address - Country:US
Mailing Address - Phone:248-449-7010
Mailing Address - Fax:248-449-7010
Practice Address - Street 1:39650 ORCHARD HILL PL
Practice Address - Street 2:SUITE 100
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-5391
Practice Address - Country:US
Practice Address - Phone:248-449-7010
Practice Address - Fax:248-449-7015
Is Sole Proprietor?:No
Enumeration Date:2016-03-23
Last Update Date:2019-09-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4704254617363L00000X
MI1770945289207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner