Individual
LAUREN E HANLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
13250 WASHINGTON AVE, MOUNT PLEASANT, WI 53177-1516
(262) 799-8700
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10164
WI
363LF0000X
Family Nurse Practitioner
209021201
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100184265
—
WI
Enumeration date
01/19/2011
Last updated
10/21/2024
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