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Individual

DR. LAURA LYNN PAULY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
12545 W BURLEIGH RD, SUITE 1, BROOKFIELD, WI 53005-3101
(262) 789-7100
Mailing address
12545 W BURLEIGH RD, SUITE 1, BROOKFIELD, WI 53005-3101
(262) 789-7100

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1648-57
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000188102
PTAN
05
42188100
WI
Enumeration date
06/02/2006
Last updated
01/02/2014
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