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Individual

DR. LORI M HAUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
S2845 WHITE EAGLE RD, BARABOO, WI 53913-9064
(608) 355-1240
(608) 355-5166
Mailing address
S2845 WHITE EAGLE RD, BARABOO, WI 53913-9064
(608) 355-1240
(608) 355-9643

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2368
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0008
WPS STATE PART B
WI
05
38588800WI
WI
Enumeration date
10/04/2006
Last updated
02/01/2022
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