Heaberlin, Lauren

Heaberlin, Lauren is an individual health care provider with primary practice located at 6901 W Edgerton Ave , Greenfield WI 53220-4420. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Heaberlin, Lauren can be contacted via phone (414) 325-5244.

Contact Information

Primary practice address
6901 W Edgerton Ave Greenfield WI 53220-4420
Phone: (414) 325-5244
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 125-066722 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036145519 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 75000 Wisconsin

Profile Details

NPI number 1033503958
LBN Legal business name Heaberlin, Lauren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2015
Last updated Apr 23rd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033503958 NPPES
Wisconsin MEDICAID 100163447

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