Individual
LAUREN E DAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
370 S MAIN ST, CLINTONVILLE, WI 54929-1632
(715) 823-5161
(715) 823-1386
Mailing address
122 E COLLEGE AVE, APPLETON, WI 54911-5794
(920) 996-3264
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4226
WI
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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