Individual provider · Type 1 NPI
Lauren Koenig, NP
Nurse Practitioner · New Haven, MI
Practice location
58144 Gratiot Ave
New Haven, MI 48048
Fax (586) 749-5560
Mailing address
4236 Cumberland Rd
Berkley, MI 48072-1677
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 4704314525 (MI) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1003569310
Lauren Koenig, NP's National Provider Identifier is 1003569310, issued on Jan 27, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in New Haven, MI. The record was last updated on Sep 19, 2025.