Individual
LAUREN MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5820 WASHINGTON AVE, MT PLEASANT, WI 53406-4020
(262) 770-5848
Mailing address
2401 N 82ND ST, WAUWATOSA, WI 53213-1018
(612) 770-5754
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
1001092-15
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487049276
—
WI
Enumeration date
03/30/2015
Last updated
03/07/2023
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