Individual
LAURA M. BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 436-4700
Mailing address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 436-4700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2638
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPR
—
WI
Enumeration date
07/28/2010
Last updated
11/17/2022
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