MEDICARE: DR. LAUREN ANN COWPER DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	6001802-15	WI
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1215728829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAUREN ANN COWPER DDS

Provider Business Mailing Address
First Line	:	4605 ROYAL DR
Second Line	:
City	:	EAU CLAIRE
State	:	WI
Zip	:	54701-2928
Country	:	US
Telephone Number	:	715-855-9220
Fax Number	:

Provider Business Practice Location Address
First Line	:	4605 ROYAL DR
Second Line	:
City	:	EAU CLAIRE
State	:	WI
Zip	:	54701-2928
Country	:	US
Telephone Number	:	715-855-9220
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2025
Last Update Date	:	02/24/2026

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