Individual
LAUREN E PRUSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
80 JOHNSON AVE, OSHKOSH, WI 54902-7378
(920) 252-2586
Mailing address
80 JOHNSON AVE, OSHKOSH, WI 54902-7378
(920) 252-2586
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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