| Doctor Name: | LAURA M PIERRE |
| NPI Number: | 1063878643 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPNP |
| License Number: | 6724-33 |
| Business Practice Address: | 109 Warren St Ste 4 Beaver Dam, WI - 539163082 |
| Business Phone Number: | 9208853305 |
| Business Fax Number: | 9208855506 |
| Mailing Address: | 109 Warren St Ste 4, BEAVER DAM |
| State: | WI |
| Postal Code: | 539163082 |
| Phone Number: | 9208853305 |
| Fax Number: | 9208855506 |
| NPI Enumeration Date: | 01/12/2016 |
| NPI Last Update Date: | 01/14/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 6724-33 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |