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

LAUREN FORMELLA BROOKS, DO

Active Sole Proprietor

Family Medicine · OREGON, WI

Registration Details

NPI Number
1649790858
Provider Type
Individual
Gender
Female
NPI Issued
Jun 20, 2017 (8.87772435411 yrs)
Last Updated
Jul 21, 2022
Licenses
125.070919 (IL)
73622-21 (WI)
Sole Proprietor
Yes

Practice Information

Address
137 S MAIN ST
OREGON, WI, 535751534
Browse WI providers · Browse ZIP 53575
Phone
6088355588
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in OREGON, WI

Name Credential NPI
SANEE M BONNELL MD 1891764262
MARIE L ROETHLISBERGER MD 1023079324
ADAM H BALIN MD 1114979366
PAUL D SMITH MD 1306899000
DAVID J OKADA MD 1871547240
ROBERT ZORBA PASTER MD 1427086610
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.