Individual
LAUREN GRACE HARROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
340 S WHITNEY WAY STE 100, MADISON, WI 53705-4631
(608) 709-8089
Mailing address
6970 PINE SISKIN PL, MIDDLETON, WI 53562-8904
(608) 556-3033
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
8480-23
WI
363A00000X
Physician Assistant
Primary
8480-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730079120
—
WI
Enumeration date
07/07/2025
Last updated
01/29/2026
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