Provider Demographics
NPI:1316235849
Name:VOKAL, LAUREN EVONNE (OD)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:EVONNE
Last Name:VOKAL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:LAUREN
Other - Middle Name:EVONNE
Other - Last Name:QUAINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:15885 GODDARD RD
Mailing Address - Street 2:APARTMENT 208
Mailing Address - City:SOUTHGATE
Mailing Address - State:MI
Mailing Address - Zip Code:48195-4469
Mailing Address - Country:US
Mailing Address - Phone:734-558-3385
Mailing Address - Fax:
Practice Address - Street 1:23110 ALLEN RD
Practice Address - Street 2:
Practice Address - City:WOODHAVEN
Practice Address - State:MI
Practice Address - Zip Code:48183-3377
Practice Address - Country:US
Practice Address - Phone:734-676-4300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-18
Last Update Date:2013-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901004644152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist