Healthcare Provider Details

I. General information

NPI: 1083064125
Provider Name (Legal Business Name): LAUREN MICHELLE PARVIN D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN ANASTOS D.O.

II. Dates (important events)

Enumeration Date: 06/20/2016
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5865 WHITMORE LAKE RD STE 1
BRIGHTON MI
48116-1945
US

IV. Provider business mailing address

5865 WHITMORE LAKE RD STE 1
BRIGHTON MI
48116-1945
US

V. Phone/Fax

Practice location:
  • Phone: 810-227-1200
  • Fax:
Mailing address:
  • Phone: 248-860-9528
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number5101025726
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number5101022376
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: