Healthcare Provider Details

I. General information

NPI: 1285549774
Provider Name (Legal Business Name): LAUREN CHANCE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

490 E AUBURN RD
ROCHESTER HILLS MI
48307-5205
US

IV. Provider business mailing address

6247 KING ARTHUR CT
SWARTZ CREEK MI
48473-8818
US

V. Phone/Fax

Practice location:
  • Phone: 248-726-3400
  • Fax:
Mailing address:
  • Phone: 586-596-3834
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7101008019APP22
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: