Healthcare Provider Details

I. General information

NPI: 1972410850
Provider Name (Legal Business Name): LAURA DOLL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 W HADLEY ST
MILWAUKEE WI
53206-1625
US

IV. Provider business mailing address

5225 W VLIET ST
MILWAUKEE WI
53208-2627
US

V. Phone/Fax

Practice location:
  • Phone: 424-267-5500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: