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Individual

LAUREN TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
W180N8000 TOWN HALL RD, RHEUMATOLOGY, MENOMONEE FALLS, WI 53051-4002
(262) 255-2500
Mailing address
W180N8000 TOWN HALL RD, RHEUMATOLOGY, MENOMONEE FALLS, WI 53051-4002
(262) 255-2500

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3723
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1619308616
WI
01
9107401
PA LICENCE NUMBER
FL
Enumeration date
12/02/2013
Last updated
11/02/2016
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