Individual
LAUREN TA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
428 W MAIN ST, MOUNT HOREB, WI 53572-1902
(608) 437-3377
(608) 437-5063
Mailing address
428 W MAIN ST, PO BOX 350, MOUNT HOREB, WI 53572-1902
(608) 437-3377
(608) 437-5063
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2644
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38600400
—
WI
Enumeration date
12/22/2005
Last updated
07/09/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us