Individual
MS. LAUREN NIKOLAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12800 N LAKE SHORE DR, MEQUON, WI 53097-2418
(262) 894-4797
Mailing address
400 OVERLAND TRL, GRAFTON, WI 53024-1018
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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