Healthcare Provider Details

I. General information

NPI: 1740108604
Provider Name (Legal Business Name): HEBE DERMATOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 W BIG BEAVER RD STE 190
BLOOMFIELD HILLS MI
48304-3911
US

IV. Provider business mailing address

693 N GLENHURST DR
BIRMINGHAM MI
48009-1159
US

V. Phone/Fax

Practice location:
  • Phone: 248-866-1310
  • Fax:
Mailing address:
  • Phone: 248-866-1310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LAUREN LAW
Title or Position: DERMATOLOGIST
Credential: DO
Phone: 248-866-1310