MEDICARE: LAUREN MEISEL

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	111N00000X	Chiropractor	2301401580	MI

General Provider Information

NPI Number	:	1598587313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN MEISEL

Provider Business Mailing Address
First Line	:	1930 W MILHAM AVE STE D
Second Line	:
City	:	PORTAGE
State	:	MI
Zip	:	49024-2228
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1930 W MILHAM AVE STE D
Second Line	:
City	:	PORTAGE
State	:	MI
Zip	:	49024-2228
Country	:	US
Telephone Number	:	269-345-2271
Fax Number	:

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

Provider Enumeration Date	:	10/31/2024
Last Update Date	:	10/31/2024

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Directions to “ LAUREN MEISEL ” Practice Location

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