Healthcare Provider Details

I. General information

NPI: 1336567437
Provider Name (Legal Business Name): LAURA M HARRIGAN DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAURA MARIE FREELAND DC

II. Dates (important events)

Enumeration Date: 04/04/2014
Last Update Date: 01/28/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6901 W EDGERTON AVE
GREENFIELD WI
53220-4420
US

IV. Provider business mailing address

PO BOX 735044
CHICAGO IL
60673-5044
US

V. Phone/Fax

Practice location:
  • Phone: 414-421-8400
  • Fax: 414-421-9557
Mailing address:
  • Phone: 800-326-2250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4960
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number038.007130
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: