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NPI Code Detail

MEDICARE: LAUREN B WINGENDER WHNP

MEDICARE: LAUREN B WINGENDER WHNP
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
1363L00000XNurse PractitionerWIN104369104WI

General Provider Information

NPI Number : 1790117703
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN B WINGENDER WHNP
Provider Business Mailing Address
First Line : 302 N JACKSON ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-5904
Country : US
Telephone Number : 414-289-3796
Fax Number : 414-431-0733
Provider Business Practice Location Address
First Line : 909 S TAYLOR DR
Second Line :
City : SHEBOYGAN
State : WI
Zip : 53081-4766
Country : US
Telephone Number : 844-493-1052
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2013
Last Update Date : 04/10/2026

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