Individual
MR. JEFFREY J LAUZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1220 DEWEY AVE, LORTON II, WAUWATOSA, WI 53213-2504
(414) 454-6500
(414) 454-6527
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
178-002408
IL
101Y00000X
Counselor
3600-125
WI
103T00000X
Psychologist
Primary
2718-057
WI
103TH0004X
Health Psychologist
2718
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40998500
—
WI
Enumeration date
08/23/2006
Last updated
04/24/2025
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