| Doctor Name: | MRS. LAUREN P MAYER |
| NPI Number: | 1205232626 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APNP |
| License Number: | 6098-33 |
| Business Practice Address: | 500 Mcmillen St Fort Atkinson, WI - 535381233 |
| Business Phone Number: | 9205635571 |
| Business Fax Number: | |
| Mailing Address: | 500 Mcmillen St, FORT ATKINSON |
| State: | WI |
| Postal Code: | 535381233 |
| Phone Number: | 9205635571 |
| Fax Number: | |
| NPI Enumeration Date: | 11/12/2014 |
| NPI Last Update Date: | 12/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 6098-33 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |