Individual
LAUREN ANN ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3501 E RAMSEY AVE, CUDAHY, WI 53110-3009
(414) 647-7170
(414) 662-2507
Mailing address
788 N JEFFERSON ST STE 300, MILWAUKEE, WI 53202-3710
(414) 272-8950
(414) 274-6250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4771-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992357982
—
WI
Enumeration date
07/10/2019
Last updated
03/03/2021
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