Individual
LAURA K. CICHOCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
611 SHERMAN AVE E, FORT ATKINSON, WI 53538-1960
(920) 568-5000
Mailing address
PO BOX 249, FORT ATKINSON, WI 53538-0249
(920) 563-4466
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1962-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43372800
—
WI
Enumeration date
09/20/2006
Last updated
06/13/2025
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