Individual
MRS. LAUREN MARGARET CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1640 E SUMNER ST, HARTFORD, WI 53027-2684
(262) 670-4000
Mailing address
1551 N WATER ST UNIT 405, MILWAUKEE, WI 53202-2612
(630) 890-8477
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3782
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100058611
—
WI
Enumeration date
07/06/2016
Last updated
06/19/2024
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