Individual
MS. LAUREN MARGUERITE VANDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
701 S HEALTH PKWY, THREE RIVERS, MI 49093-8352
(269) 278-1145
Mailing address
10811 PORTAGE RD, PORTAGE, MI 49002-7316
(248) 444-0070
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601010069
MI
363AS0400X
Surgical Physician Assistant
Primary
5601010069
MI
Other
Enumeration date
09/01/2020
Last updated
01/14/2026
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