| Lauren Nicole Sparks, DO | |
|
30795 23 Mile Rd Ste 201, Chesterfield, MI 48047-5721 | |
| (586) 421-1600 | |
| (586) 421-2002 |
| Full Name | Lauren Nicole Sparks |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 30795 23 Mile Rd Ste 201, Chesterfield, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205499910 | NPI | - | NPPES |
| 1205499910 | Medicaid | MI | |
| MI16311021 | Other | MI | MEDICARE HFPP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 05240 (Kentucky) | Primary |
| Entity Name | Alliance Health Professionals Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841615648 PECOS PAC ID: 7618199225 Enrollment ID: O20141117000290 |
| Entity Name | Henry Ford Physician Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427703602 PECOS PAC ID: 8921482605 Enrollment ID: O20220830000387 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Nicole Sparks, DO Po Box 675398, Detroit, MI 48267-5398 Ph: (586) 329-1880 | Lauren Nicole Sparks, DO 30795 23 Mile Rd Ste 201, Chesterfield, MI 48047-5721 Ph: (586) 421-1600 |
Dr. Garry Ting-guide Ng, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 30795 23 Mile Rd Ste 201, Chesterfield, MI 48047 Phone: 586-421-1600 Fax: 586-421-2002 | |
Dr. Ronald Fogel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 30795 23 Mile Rd, Suite 206, Chesterfield, MI 48047 Phone: 586-598-5731 Fax: 586-948-1530 | |
Kenneth E Smith, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 30795 23 Mile Rd Ste 201, Chesterfield, MI 48047 Phone: 586-421-1600 Fax: 586-421-2002 |