Healthcare Provider Details
I. General information
NPI: 1437474020
Provider Name (Legal Business Name): LAUREN NICOLE PARSONS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/07/2010
Last Update Date: 03/13/2024
Certification Date: 03/13/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9000 W WISCONSIN AVE
MILWAUKEE WI
53226-4874
US
IV. Provider business mailing address
9000 W WISCONSIN AVE
MILWAUKEE WI
53226-4874
US
V. Phone/Fax
- Phone: 414-266-2526
- Fax: 414-266-2779
- Phone: 414-266-2526
- Fax: 414-266-2779
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207ZC0500X |
| Taxonomy | Cytopathology Physician |
| License Number | 57212 |
| License Number State | WI |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207ZP0213X |
| Taxonomy | Pediatric Pathology Physician |
| License Number | 57212 |
| License Number State | WI |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207ZP0102X |
| Taxonomy | Anatomic Pathology & Clinical Pathology Physician |
| License Number | 57212 |
| License Number State | WI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: