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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAURA M LUNDGREN, PA C

Active

LAURA M LUNDGREN, PA C is a Physician Assistant healthcare provider located in APPLETON, Wisconsin. NPI 1588997308 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · APPLETON, WI

Registration Details

NPI Number
1588997308
Provider Type
Individual
Gender
Female
NPI Issued
Sep 11, 2009 (16.898000173007 yrs)
Last Updated
Mar 14, 2023
Licenses
2505-23 (WI)
2505 (WI)

Practice Information

Address
2105 E ENTERPRISE AVE
APPLETON, WI, 549137862
Browse WI providers · Browse ZIP 54913
Phone
9205601000
Fax
9207317133
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in APPLETON, WI

Name Credential NPI
JENNIFER M MARSHALL PAC 1629078217
ROBERT LEO DESJARDIN PA 1942292198
JULIE A VAJDA PAC 1780677294
MR. MICHAEL D ARIZOLA III PAC 1639163652
THOMAS R WOODS PA C 1619962842
JAMYE N MCGRAW PA C 1972598969
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.