Healthcare Provider Details

I. General information

NPI: 1083550412
Provider Name (Legal Business Name): LAUREN RENEE MYERS DC, MS, MED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 26 MILE RD
SHELBY TOWNSHIP MI
48316-5006
US

IV. Provider business mailing address

7369 MEADOW LN
YPSILANTI MI
48197-9431
US

V. Phone/Fax

Practice location:
  • Phone: 586-566-9116
  • Fax:
Mailing address:
  • Phone: 979-308-8012
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301401699
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: