Individual
LAUREN MCKEOWN HANNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1155 N MAYFAIR RD, WAUWATOSA, WI 53226-3462
(414) 955-5990
Mailing address
1155 N MAYFAIR RD, WAUWATOSA, WI 53226-3462
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
242498-30
WI
363L00000X
Nurse Practitioner
Primary
17219-33
WI
Other
Enumeration date
07/21/2025
Last updated
08/04/2025
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