Individual provider · Type 1 NPI

Lauren Koenig, NP

Nurse Practitioner · New Haven, MI

NPI number 1003569310 Active

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

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704314525 (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…

15 other providers at this address

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.