Individual
LAUREN STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
163 N MILWAUKEE ST, MILWAUKEE, WI 53202-6012
(414) 227-1127
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
18083-33
WI
363LF0000X
Family Nurse Practitioner
Primary
18083
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100407672
—
WI
Enumeration date
02/25/2026
Last updated
05/01/2026
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