Healthcare Provider Details

I. General information

NPI: 1568308112
Provider Name (Legal Business Name): LAUREN C MILLAR RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 CAROMAR DR
MADISON WI
53711-1525
US

IV. Provider business mailing address

502 CAROMAR DRIVE
MADISON WI
53711-1525
US

V. Phone/Fax

Practice location:
  • Phone: 608-204-6705
  • Fax: 608-237-0288
Mailing address:
  • Phone: 608-204-6705
  • Fax: 608-237-0288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number159451-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: