# LAURA SUNN MD SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447420724
- **Authorized official:** DR. LAURA A SUNN M.D (PRESIDENT)
- **Authorized official phone:** (262) 886-5700

## Contact information

- **Practice address:** 5802 WASHINGTON AVE STE 201, RACINE, WI 53406-4050
- **Practice address phone:** (262) 886-5700
- **Practice address fax:** (262) 886-4747
- **Mailing address:** 1055 PRAIRIE DR STE D, RACINE, WI 53406-3971
- **Mailing address phone:** (262) 898-7100
- **Mailing address fax:** (232) 898-7171

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 26059-020 | WI | Yes |

## Other

- **Enumeration date:** 03/03/2008
- **Last updated:** 03/03/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 30789900 | — | WI |
