Individual
LAUREN BRANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3114 SHERMAN PARC CIR, JACKSON, WI 53037-8954
(262) 677-8521
Mailing address
3114 SHERMAN PARC CIR, JACKSON, WI 53037-8954
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
230262
WI
Other
Enumeration date
09/18/2016
Last updated
09/18/2016
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