Individual
LAUREN A MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
700 S PARK ST STE A, MADISON, WI 53715-1830
(608) 260-2900
Mailing address
1808 W BELTLINE HWY, MADISON, WI 53713-2334
(608) 250-1497
(608) 250-1384
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2280
WI
363AM0700X
Medical Physician Assistant
2280-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669633210
—
WI
Enumeration date
06/17/2008
Last updated
12/28/2020
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