Lundgren, Laura M
Lundgren, Laura M is an individual health care provider with primary practice located at 2105 E Enterprise Ave , Appleton WI 54913-7862. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Lundgren, Laura M can be contacted via phone (920) 560-1000.Contact Information
Primary practice address
2105 E Enterprise Ave
Appleton WI 54913-7862
Phone: (920) 560-1000
Fax: (920) 731-7133
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 2505-23 | Wisconsin |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2505 | Wisconsin |
Profile Details
NPI number | 1588997308 |
---|---|
LBN Legal business name | Lundgren, Laura M |
Credentials | PA C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 11th, 2009 |
Last updated | Mar 14th, 2023 - about 2 years ago |
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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