Individual
LAUREN BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1051 WEST AVE, RICE LAKE, WI 54868-4425
(920) 496-4700
Mailing address
1051 WEST AVE, RICE LAKE, WI 54868-4425
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6330-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100245785
—
WI
Enumeration date
10/01/2020
Last updated
12/26/2023
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