Provider Demographics
NPI:1881109742
Name:DILL, LAUREN (CLC)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:DILL
Suffix:
Gender:F
Credentials:CLC
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:JOHNSTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:203 VIRGINIA ST
Mailing Address - Street 2:
Mailing Address - City:STURGIS
Mailing Address - State:MI
Mailing Address - Zip Code:49091-1914
Mailing Address - Country:US
Mailing Address - Phone:260-348-8470
Mailing Address - Fax:
Practice Address - Street 1:203 VIRGINIA ST
Practice Address - Street 2:
Practice Address - City:STURGIS
Practice Address - State:MI
Practice Address - Zip Code:49091-1914
Practice Address - Country:US
Practice Address - Phone:260-348-8470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-13
Last Update Date:2017-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN