LAUREN LEIGH HAACK - NPI 1205694247 - Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Lauren Leigh Haack NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAUREN LEIGH HAACK (NPI 1205694247) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1205694247

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameLAUREN LEIGH HAACK

Location Address3990 JOHN R ST STE 615Detroit, MI 48201-2018

Mailing Address332 E State StColumbus, OH 43215-4732 · (614) 788-5400 · Fax (614) 788-5500

Phone(313) 745-4195

Fax(313) 993-8669

Sole ProprietorNo

Enumeration DateMarch 12, 2024

Last NPPES UpdateMarch 24, 20262 updates tracked since enumeration

NPPES CertifiedMarch 24, 2026

✔ NPI 1205694247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

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.

3990 JOHN R ST STE 615, Detroit, MI 48201

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Secondary Practice Location 1

Location 1332 E State StColumbus, OH 43215-4732 · Phone (614) 788-5400 · Fax (614) 788-5500

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lauren Leigh Haack is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.