Healthcare Provider Details
I. General information
NPI: 1972167252
Provider Name (Legal Business Name): LAUREN CHOI-KUO LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/23/2019
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
626 MARSHALL ST
LANSING MI
48912-2309
US
IV. Provider business mailing address
PO BOX 30161
LANSING MI
48909-7661
US
V. Phone/Fax
- Phone: 517-244-8011
- Fax: 517-244-7188
- Phone: 517-887-4383
- Fax: 517-244-7188
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: