Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sophia Lauren Domineck

Individual provider Registered Nurse · NPI 1316703671

Sophia Lauren Domineck is a Registered Nurse in Highland Park, Michigan. Licensed in Michigan. Registered with an NPI since 2024.

Licensed in
MI
In the registry since
2024

Practice location Address checks out

12501 Hamilton Ave
Highland Park, MI 48203-3243
Phone: (313) 865-1580
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 4704350931 (MI)

Record details

NPI number1316703671
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 26, 2024
Last updated in NPPESFebruary 26, 2024
Certification dateFebruary 24, 2024

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