LAUREN R HASKIN


Address: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525
Phone: 6163637339

LAUREN R HASKIN (NPI# 1104293646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104293646
Entity Type Individual
Full Name LAUREN R HASKIN
Other Name LAUREN REIF
Credential PA
Practice Address 3264 N Evergreen Dr Ne
Grand Rapids
MI 49525
Mailing Address 3264 N Evergreen Dr Ne
Grand Rapids
MI 49525-9746
Practice Telephone 6163637339
Mailing Telephone 6163637339
Enumeration Date 2015-09-01
Last Update Date 2018-10-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
5601007509 MI Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
9249 W Lake City Rd, Houghton Lake, MI 486299602 9894225122

Office Location

Street Address 3264 N EVERGREEN DR NE
City GRAND RAPIDS
State MI
Zip Code 49525

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720081649 Jay A Harolds Radiology 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 2005-05-24
1932768058 Spartan Radiology, Inc Radiology 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 2019-06-12
1346737970 Laura Lynn Phillips Nurse Practitioner 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 2018-04-19
1457724965 Kwabea E Agbley Physician Assistant 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 2015-11-05
1356743959 Alicia Hock Nurse Practitioner 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 2014-09-25
1063821056 Jeanette Lynn Quick Nurse Practitioner 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 2014-08-05
1881006823 David Mitchell Radiology 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 2014-05-26
1811308588 Michael Thomas Johnson Radiology 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 2014-05-15
1699185561 Michael Vincent Perone Radiology 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 2014-05-01
1902225337 Stephen Russell Vossler Radiology 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 2014-04-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053928507 Therapy With Nicole Pllc Community/Behavioral Health 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 2020-09-29
1184242760 Christian Healthcare Specialists, Inc. Obstetrics & Gynecology 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 2020-07-09
1174154645 Amy Vanderslik Case Manager/Care Coordinator 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 2020-02-03
1477195246 Epic Discoveries LLC Counselor 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 2019-10-14
1598228959 Kim Scherencel Lmsw Counseling Social Worker 3280 Beltline Ne, Grand Rapids, MI 49525 2019-04-11
1821558958 Mindful Trajectories Social Worker 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 2019-03-24
1104380518 Julianne Lettinga, Ma Lpc Counseling Counselor 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 2019-01-30
1396227229 Christopher Scot Doucette Social Worker 2064 Airway St Ne, Grand Rapids, MI 49525 2018-09-06
1568976017 Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry Dentist 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 2017-11-20
1407389604 Kelly Jo Crabb Social Worker 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 2017-04-05
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740839505 Rachel Lauren Zokoe Physician Assistant 4024 Park East Ct Se Ste C, Grand Rapids, MI 49546-8810 2019-09-05
1689046187 Emily Lauren Amato Physician Assistant 1310 E Beltline Ave Se Ste 130, Grand Rapids, MI 49506-4303 2015-10-22
1568864353 Brittany L Babiak Physician Assistant 4362 Cascade Rd Se Ste 206, Grand Rapids, MI 49546-3670 2014-09-23
1760760037 Cristian Rodriguez Physician Assistant 2155 Buchanan St Sw, Grand Rapids, MI 49507 2011-08-03
1851423750 Barbara Ann Grinwis Physician Assistant 522 Leonard St Nw, Grand Rapids, MI 49504-4258 2007-03-09
1922170158 Robin M Iknayan Physician Assistant 350 Lafayette Ave Se Fl 4, Grand Rapids, MI 49503-4656 2006-11-14
1043391154 Marc Allen Bush Physician Assistant 100 Michigan St. Nw, Suite A721, Grand Rapids, MI 49503 2006-10-17
1437254430 David Joseph Barney Physician Assistant 6690 Crossings Dr Se Ste C, Grand Rapids, MI 49508 2006-09-14
1144232505 Robert W Schmitt Physician Assistant 3260 Eagle Park Dr Ne Ste 115, Grand Rapids, MI 49525-4569 2006-08-13
1598775322 Crystal A Dole Physician Assistant 2155 E Paris Ave Se Ste 210, Grand Rapids, MI 49546-6142 2006-08-08
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Competitor

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City GRAND RAPIDS
Zip Code 49525

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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