| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LAUREN BETH BAUER | 1528601887 | 2019-10-19 |
Lauren B Bauer [F] graduated in 2018 and primarily specializes in Nurse Practitioner.
Lauren Beth Bauer is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1528601887. Registration indicates Lauren Beth Bauer is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| PECOS ID | 2567894710 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Lauren Beth Bauer NP-C |
| Other Provider Name | Lauren Beth Inman |
| Practice Office Address | 15717 15 MILE RD CLINTON TOWNSHI, MI US |
| Practice Office Telephone | 5862853800 |
| Practice Office Fax | 5862853814 |
| Mailing Address | 1 FORD PL STE 3A DETROIT, MI 482023450 US |
| Business Telephone | 3138744806 |
| Business Fax | 3138761305 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1402 W 14 Mile Rd | Clawson, MI 480171499 | 2487594222 |
| Code | Practice | License No State |
|---|---|---|
| 363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 4704306130
MI |