Individual
LAUREN TITUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
801 BRAXTON PL FL 2, MADISON, WI 53715-1415
(608) 260-2700
Mailing address
1852 RIDGEMONT CIR, DE PERE, WI 54115-3471
(920) 857-6008
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
WI033075701312
WI
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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