Individual
LAUREN I FLINT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7220 W NATIONAL AVE, WEST ALLIS, WI 53214-4734
(414) 257-8500
Mailing address
7220 W NATIONAL AVE, WEST ALLIS, WI 53214-4734
(414) 257-8500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2148
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1075111
PA-C CERTIFICATE NUMBER
WI
05
—
41945500
—
WI
Enumeration date
07/13/2007
Last updated
11/18/2021
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