Individual
DR. LAURIE A KABINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2301 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 291-1075
Mailing address
4425 N PORT WASHINGTON RD, ATTN: CSMCP CLINIC CREDENTIALING, GLENDALE, WI 53212-1082
(414) 326-2378
(414) 326-2155
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
38287-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050082958
RAIL ROAD MEDICARE
—
05
—
32292600
—
WI
Enumeration date
11/29/2005
Last updated
06/11/2012
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