Individual
LAUREN VANLOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
(414) 351-7836
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 352-3100
(414) 351-7836
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5020
WI
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098986
—
WI
Enumeration date
05/17/2018
Last updated
11/30/2021
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