Individual
DR. LAURIE ANN ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6125 GREEN BAY RD, SUITE 800, KENOSHA, WI 53142-2928
(262) 654-0726
(262) 654-4365
Mailing address
7747 242ND AVE, SALEM, WI 53168-9448
(262) 843-2999
(262) 843-2999
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2564 - 035
WI
Other
Enumeration date
04/03/2008
Last updated
04/03/2008
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