DR. BLAKE LAURSEN DC NPI 1972135341

NPI Information

NPI: 1972135341
Provider Name: DR. BLAKE LAURSEN, DC
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
3475 PLYMOUTH RD
ANN ARBOR, MI
ZIP 48105
Phone: (712) 299-2383
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DR. Blake Laursen, DC is a student in an organized health care education training program in Ann Arbor, MI. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Blake Laursen, DC NPI is 1972135341. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3475 PLYMOUTH RD
ANN ARBOR, MI
ZIP 48105-550
Phone: (712) 299-2383

The enumeration date for this NPI number is 2/4/2020 and was last updated on 11/1/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				Yes
2	111N00000X	Chiropractor		2020003790	MISSOURI	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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