Individual
CHARLOTTE LASENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
451 JUNCTION RD, MADISON, WI 53717-2656
(608) 265-7670
(608) 265-7739
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
74986
WI
207ND0900X
Dermatopathology Physician
74986
WI
Other
Enumeration date
03/28/2016
Last updated
06/03/2021
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