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NPI Code Detail

MEDICARE: LAUREN VON RUEDEN

MEDICARE: LAUREN VON RUEDEN
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1730837840
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN VON RUEDEN
Provider Business Mailing Address
First Line : 2463 N 45TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53210-2913
Country : US
Telephone Number : 920-253-0554
Fax Number :
Provider Business Practice Location Address
First Line : 1020 W HISTORIC MITCHELL ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53204-3307
Country : US
Telephone Number : 414-310-3247
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2022
Last Update Date : 02/04/2026

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Directions to “ LAUREN VON RUEDEN ” Practice Location

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