Individual
DR. LAUREN NIBLER CRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8922
Mailing address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8922
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
61383
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518223148
—
WI
Enumeration date
04/09/2012
Last updated
10/17/2022
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