Individual
LAUREN EICHENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5220 HIGHLAND RD STE 210, WATERFORD, MI 48327-1973
(248) 383-1030
(248) 383-1031
Mailing address
5220 HIGHLAND RD STE 210, WATERFORD, MI 48327-1973
(248) 383-1030
(248) 383-1031
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301111519
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2011
Last updated
07/21/2022
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