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

Active since March 12, 2024PECOS Enrolled
3990 JOHN R ST STE 615, DETROIT, MI 48201(313) 745-4195(313) 993-8669 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 24, 2026, Apr 9, 2025 (2 updates tracked since 2025).

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
Open in Google Maps ↗

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.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDREA ADAMS
Student in an Organized Health Care Education/Training Program
3990 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
DR. ZACHARY JOEL KITTRELL MD
Student in an Organized Health Care Education/Training Program
3990 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
KAVITA RAMNATH MD
Student in an Organized Health Care Education/Training Program
3990 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
DR. BENJAMIN SETH WILLIAMS MD
Student in an Organized Health Care Education/Training Program
3990 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 577-5009
KEINNAN HARES
Student in an Organized Health Care Education/Training Program
3990 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
CHAYTON GERALD FIVECOAT MD
Surgery
3990 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
JULIA COCHRANE
Student in an Organized Health Care Education/Training Program
3990 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
MATTHEW ZABAT
Student in an Organized Health Care Education/Training Program
3990 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lauren Haack's NPI number?

The NPI number for Lauren Haack is 1205694247. It was assigned to this individual provider in the NPPES registry on March 12, 2024.

Where is Lauren Haack located?

Lauren Haack practices at 3990 John R St Ste 615, Detroit, MI 48201. The listed phone number is (313) 745-4195.

What is Lauren Haack's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Lauren Haack enrolled in Medicare?

Yes. Lauren Haack is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lauren Haack was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.