Individual
LAUREN LOUISE BANCROFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 445-7373
Mailing address
6278 CREAM CITY RD, OCONTO, WI 54153-9437
(920) 373-7408
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
15639-33
WI
Other
Enumeration date
07/30/2024
Last updated
07/31/2024
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