Most Relevant Information
Provider Data
| NPI Number: | 1003569310 |
| Provider Name: | LAUREN KOENIG NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 4704314525 |
Most Important Dates
| Enumeration Date: | 01/27/2022 |
| Last Updated: | 03/18/2024 |
Provider Practice Location
4669 E 8 MILE RD
WARREN
MI
48091
Practice Location Phone/Fax
| Phone: | 3134166262 |
| Fax: |
Provider Mailing Location
4236 CUMBERLAND RD
BERKLEY
MI
480721677
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |