Individual
LAUREN GULLICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
557 S WINSTED ST, SPRING GREEN, WI 53588-9435
(608) 574-2242
Mailing address
6736 US HIGHWAY 14, ARENA, WI 53503-9340
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
239265-30
WI
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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