Provider Demographics
NPI:1467902528
Name:VOIGT, LAURA
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:VOIGT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:DENZIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2005 MIDWAY RD
Mailing Address - Street 2:
Mailing Address - City:MENASHA
Mailing Address - State:WI
Mailing Address - Zip Code:54952-7002
Mailing Address - Country:US
Mailing Address - Phone:920-832-8500
Mailing Address - Fax:920-380-4840
Practice Address - Street 1:2005 MIDWAY RD
Practice Address - Street 2:
Practice Address - City:MENASHA
Practice Address - State:WI
Practice Address - Zip Code:54952-7002
Practice Address - Country:US
Practice Address - Phone:920-832-8500
Practice Address - Fax:920-380-4840
Is Sole Proprietor?:No
Enumeration Date:2016-10-12
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7244-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily