Individual
LAURA CHEREK-LAABS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 W NORTH AVE, MILWAUKEE, WI 53205
(414) 210-2450
Mailing address
2801 E MORGAN AVE, MILWAUKEE, WI 53207-3771
(414) 977-5000
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5705-16
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841667466
—
WI
Enumeration date
10/20/2015
Last updated
10/20/2015
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