Individual
LAUREN HOLLY BUCZKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10625 W NORTH AVE STE 101B, WAUWATOSA, WI 53226-2315
(414) 647-5203
Mailing address
11740 MAYWOOD DR, SPARTA, MI 49345-9568
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7786-23
WI
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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