Individual
LAUREN KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
58144 GRATIOT AVE, NEW HAVEN, MI 48048
(586) 749-5197
(586) 749-5560
Mailing address
4236 CUMBERLAND RD, BERKLEY, MI 48072-1677
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704314525
MI
Other
Enumeration date
01/27/2022
Last updated
09/19/2025
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