Healthcare Provider Details

I. General information

NPI: 1043180680
Provider Name (Legal Business Name): LAUREN ZUHLKE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2025
Last Update Date: 11/19/2025
Certification Date: 11/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24453 BUCHANAN CT APT 1901
FARMINGTON HILLS MI
48335-2157
US

IV. Provider business mailing address

24453 BUCHANAN CT APT 1901
FARMINGTON HILLS MI
48335-2157
US

V. Phone/Fax

Practice location:
  • Phone: 734-716-9816
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86153279
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: