Individual provider · Type 1 NPI
Lauren Fakhreldine
Medical Physician Assistant · Southfield, MI
NPI number
1992697239
Active
Practice location
26400 W 12 Mile Rd Ste 170
Southfield, MI 48034-1753
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1992697239
Lauren Fakhreldine's National Provider Identifier is 1992697239, issued on Jul 21, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Southfield, MI. The record was last updated on Jan 29, 2026.