Healthcare Provider Details

I. General information

NPI: 1144146333
Provider Name (Legal Business Name): LAUREN WOODS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LOU WOODS

II. Dates (important events)

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

III. Provider practice location address

25600 WOODWARD AVE STE 108
ROYAL OAK MI
48067-0944
US

IV. Provider business mailing address

16550 STAHELIN AVE
DETROIT MI
48219-4149
US

V. Phone/Fax

Practice location:
  • Phone: 248-331-9334
  • Fax:
Mailing address:
  • Phone: 971-201-2826
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: