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NPI Code Detail

MEDICARE: LAUREN ELIZABETH FLEMING

MEDICARE: LAUREN ELIZABETH FLEMING
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
1111N00000XChiropractor5718-12WI

General Provider Information

NPI Number : 1689326043
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN ELIZABETH FLEMING
Provider Business Mailing Address
First Line : 435 RIVERCREST CT
Second Line :
City : MUKWONAGO
State : WI
Zip : 53149-1759
Country : US
Telephone Number : 262-363-5349
Fax Number :
Provider Business Practice Location Address
First Line : 435 RIVERCREST CT
Second Line :
City : MUKWONAGO
State : WI
Zip : 53149-1759
Country : US
Telephone Number : 262-363-5349
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2022
Last Update Date : 01/26/2022

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Directions to “ LAUREN ELIZABETH FLEMING ” Practice Location

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