Individual
LAUREN HOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
Mailing address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5748-23
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/25/2022
Last updated
03/09/2022
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