Healthcare Provider Details

I. General information

NPI: 1356727416
Provider Name (Legal Business Name): LAUREN JEAN CURTIS RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2015
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

N77W14435 APPLETON AVE
MENOMONEE FALLS WI
53051-4306
US

IV. Provider business mailing address

164 E BRADLEY RD
FOX POINT WI
53217-3143
US

V. Phone/Fax

Practice location:
  • Phone: 262-623-0138
  • Fax:
Mailing address:
  • Phone: 262-623-0138
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number18221-40
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: