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General NPI Number Information
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NPI Number | 1093697633
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Entity Type | Individual
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Provider Name | LAUREN KATHRYN SHIKOSKI
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Gender | Female
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 1902 MEAD AVE
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City | SHEBOYGAN
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State | WI
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Zip | 53081-6140
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Country | US
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Telephone | 920-458-8333
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Fax |
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Provider Business Mailing Address
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Address Line | 3821 WAYSIDE RD
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City | GREENLEAF
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State | WI
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Zip | 54126-9494
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Country | US
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Telephone | 920-606-5999
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 7070-154
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License Number State | WI
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