Individual
MS. LAURIE RENEE PENZKOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
300 RACE ST, WISCONSIN DELLS, WI 53965-1822
(608) 254-2574
Mailing address
811 9TH ST, BARABOO, WI 53913-1755
(414) 687-2387
(608) 690-5273
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2621-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42576100
—
WI
Enumeration date
11/09/2007
Last updated
07/31/2026
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