IndividualActive
Lauren Bos
NPI 1104471986 · Physician Assistant · Holland, MI
Provider details
- NPI number
- 1104471986
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 5601009427 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
370 N 120th Ave Ste 20
Holland, MI 49424-2196
Phone: (616) 396-5855
Fax: (616) 396-5720
Approximate (ZIP-level) locationGet directions
Mailing address
75 Knollwood Pkwy
Holland, MI 49423-9284
Additional practice locations (2)
- 2125 168th AveGrand Haven, MI 49417-9396Phone: (616) 935-3851Fax: (616) 935-3870
- 1883 E Laketon AveMuskegon, MI 49442-6123Phone: (231) 767-3030Fax: (231) 767-9980
Registry dates
- Enumerated
- 2019-08-07
- Last updated
- 2019-12-10
- Certified
- 2019-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.