Individual
LAUREN VERMILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2305 SAN LUIS PL, GREEN BAY, WI 54304-5211
(920) 494-5231
(920) 494-1958
Mailing address
160 S FISK ST APT 7, GREEN BAY, WI 54303-2485
(715) 340-7292
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13302-24
WI
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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