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Individual

MISS LINDSAY LAURENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
4500 W LOOMIS RD, GREENFIELD, WI 53220-4819
(414) 325-5300
Mailing address
4500 W LOOMIS RD, GREENFIELD, WI 53220-4819

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4134-154
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201425272
WI
Enumeration date
09/04/2015
Last updated
09/04/2015
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