Individual
LAUREN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(262) 661-1403
Mailing address
136 N MILWAUKEE ST APT 412, MILWAUKEE, WI 53202-6035
(262) 661-1403
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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