Individual
LAUREN H WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
W3985 COUNTY ROAD NN, ELKHORN, WI 53121-4337
(126) 274-1212
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
67326
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100048429
—
WI
Enumeration date
04/22/2015
Last updated
10/04/2024
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