Individual
MS. MARY K. LAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-2420
(414) 266-6837
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-2420
(414) 266-6837
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
132876
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043239262
—
WI
Enumeration date
07/19/2006
Last updated
07/28/2022
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