Organization
LAURA SUNN MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA A SUNN M.D (PRESIDENT)
(262) 886-5700
Entity
Organization
Contact information
Practice address
5802 WASHINGTON AVE STE 201, RACINE, WI 53406-4050
(262) 886-5700
(262) 886-4747
Mailing address
1055 PRAIRIE DR STE D, RACINE, WI 53406-3971
(262) 898-7100
(232) 898-7171
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
26059-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30789900
—
WI
Enumeration date
03/03/2008
Last updated
03/03/2008
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