MEDICARE: LAUREN KRUEGER NP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	4704300719	MI
2	363LF0000X	Family Nurse Practitioner	4704300719	MI

General Provider Information

NPI Number	:	1376052654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN KRUEGER NP-C

Provider Business Mailing Address
First Line	:	PO BOX 427
Second Line	:
City	:	HILLMAN
State	:	MI
Zip	:	49746-0427
Country	:	US
Telephone Number	:	989-354-2197
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 427
Second Line	:
City	:	HILLMAN
State	:	MI
Zip	:	49746-0427
Country	:	US
Telephone Number	:	989-354-2197
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2017
Last Update Date	:	03/05/2026

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