| Doctor Name: | LAURA CRAGIN |
| NPI Number: | 1275886087 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APNP |
| License Number: | 89592-030 |
| Business Practice Address: | 103 1st Ave W Menomonie, WI - 547511876 |
| Business Phone Number: | 7152321314 |
| Business Fax Number: | |
| Mailing Address: | 103 1st Ave W, MENOMONIE |
| State: | WI |
| Postal Code: | 547511876 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/17/2012 |
| NPI Last Update Date: | 10/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 89592-030 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |