Individual
LAUREN SHEAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2180 S MAIN ST, WEST BEND, WI 53095-5754
(262) 532-3127
Mailing address
2180 S MAIN ST, WEST BEND, WI 53095-5754
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2018
Last updated
10/27/2021
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