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General NPI Number Information
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NPI Number | 1588081913
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Entity Type | Individual
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Provider Name | LAURA W O'LOUGHLIN APNP
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Gender | Female
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Dates
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Enumeration Date | 03/24/2014
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 2311 N PROSPECT AVE PROSPECT MEDICAL COMMONS
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City | MILWAUKEE
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State | WI
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Zip | 53211-4445
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Country | US
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Telephone | 414-319-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 2675 N MAYFAIR RD STE 400
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City | MILWAUKEE
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State | WI
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Zip | 53226-1305
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Country | US
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Telephone | 414-763-6910
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Fax | 414-763-6911
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5641-33
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5641
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License Number State | WI
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