Provider Demographics
NPI:1356501613
Name:NAATZ, LAUREN D (DC)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:D
Last Name:NAATZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5439 DURAND AVE.
Mailing Address - Street 2:STE. 200
Mailing Address - City:RACINE
Mailing Address - State:WI
Mailing Address - Zip Code:53406-5058
Mailing Address - Country:US
Mailing Address - Phone:262-898-0208
Mailing Address - Fax:
Practice Address - Street 1:5439 DURAND AVE.
Practice Address - Street 2:STE. 200
Practice Address - City:RACINE
Practice Address - State:WI
Practice Address - Zip Code:53406-5058
Practice Address - Country:US
Practice Address - Phone:262-898-0208
Practice Address - Fax:262-554-6883
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-11
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008014021111N00000X
WI4394-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100006233Medicaid
WIWI-1456Medicare PIN