Individual
LAUREN FORMELLA BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
137 S MAIN ST, OREGON, WI 53575-1534
(608) 835-5588
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125.070919
IL
207Q00000X
Family Medicine Physician
Primary
73622-21
WI
Other
Enumeration date
06/20/2017
Last updated
07/21/2022
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