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Individual

LAUREN J HOLLANDSWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1284 N SUMMIT AVE, OCONOMOWOC, WI 53066-4459
(262) 569-3080
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
66480
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100061794
WI
Enumeration date
03/30/2015
Last updated
02/23/2023
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