Individual
LAUREN ANN GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1423 S PARK ST, MADISON, WI 53715-2105
(608) 280-3150
(608) 237-2690
Mailing address
1926 KEYES AVE, MADISON, WI 53711-2008
(608) 280-3150
(608) 280-3160
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
30398
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31610600
—
WI
Enumeration date
05/14/2007
Last updated
08/24/2016
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