Healthcare Provider Details

I. General information

NPI: 1194404814
Provider Name (Legal Business Name): LAUREN CLAXTON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2023
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1640 E SUMNER ST
HARTFORD WI
53027-2684
US

IV. Provider business mailing address

PO BOX 735044
CHICAGO IL
60673-5044
US

V. Phone/Fax

Practice location:
  • Phone: 262-670-4000
  • Fax: 262-670-4451
Mailing address:
  • Phone: 800-326-2250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number13991
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: