Individual provider · NPI-1

Lauren Susan Cassisi Barber, NP

Nurse Practitioner, Pediatrics · West Bloomfield, MI

NPI number1407289432

StatusActive

Last updated in NPPESMay 12, 2026

Details

NPI: 1407289432
Entity type: Individual (NPI-1)
Name: Lauren Susan Cassisi Barber
Credential: NP
Sex: Female
Sole proprietor: Yes
Enumeration date: Aug 13, 2013
Certification date: May 12, 2026
Last updated: May 12, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LP0200X	Nurse Practitioner, Pediatrics	4704247426	MI	Yes
363LF0000X	Nurse Practitioner, Family	4704247426	MI

Practice location

6667 Orchard Lake Rd
West Bloomfield, MI 48322-3404

Phone 248-206-8950 · Fax 248-206-8951

Mailing address

6667 Orchard Lake Rd
West Bloomfield, MI 48322-3404

Phone 248-206-8950 · Fax 248-206-8951

Other practice locations

23455 Michigan Ave
Dearborn, MI 48124-1908

Phone 313-438-6094

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