Individual
LAUREN MEREDITH WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11160 W J PRESLEY PARKWAY, SUITE 100, ALLENDALE, MI 49401
(616) 252-3900
(616) 252-3920
Mailing address
5900 BYRON CENTER AVE SW, MEDICAL ADMINISTRATION, WYOMING, MI 49519-9606
(162) 523-9006
(616) 252-3920
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MT208965
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396123964
—
MI
Enumeration date
05/14/2015
Last updated
10/03/2018
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