MEDICARE: LAUREN JEAN CURTIS RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	18221-40	WI

General Provider Information

NPI Number	:	1356727416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN JEAN CURTIS RPH

Provider Business Mailing Address
First Line	:	164 E BRADLEY RD
Second Line	:
City	:	FOX POINT
State	:	WI
Zip	:	53217-3143
Country	:	US
Telephone Number	:	262-623-0138
Fax Number	:

Provider Business Practice Location Address
First Line	:	N77W14435 APPLETON AVE
Second Line	:
City	:	MENOMONEE FALLS
State	:	WI
Zip	:	53051-4306
Country	:	US
Telephone Number	:	262-623-0138
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2015
Last Update Date	:	06/02/2026

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