Individual
DR. LAUREN J NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
6040 W LISBON AVE, SUITE 102, MILWAUKEE, WI 53210-2116
(414) 871-9111
(414) 871-9121
Mailing address
2218 N SUMMIT AVE, APT. 204, MILWAUKEE, WI 53202-1226
(414) 313-1181
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43556700
—
WI
Enumeration date
02/13/2007
Last updated
07/08/2007
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