Individual
LAUREN R DEMERATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2845 GREENBRIER RD, STE 340, GREEN BAY, WI 54311-6519
(920) 288-8380
(920) 288-8385
Mailing address
164 N BROADWAY, GREEN BAY, WI 54303-2728
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3009-23
WI
Other
Enumeration date
08/08/2012
Last updated
12/14/2017
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