Provider Demographics
NPI:1588614549
Name:LASCHEN, ANNE-MARIE CHRISTINE (OD)
Entity Type:Individual
Prefix:DR
First Name:ANNE-MARIE
Middle Name:CHRISTINE
Last Name:LASCHEN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 E GENEVA ST
Mailing Address - Street 2:
Mailing Address - City:DELAVAN
Mailing Address - State:WI
Mailing Address - Zip Code:53115-2025
Mailing Address - Country:US
Mailing Address - Phone:262-728-0068
Mailing Address - Fax:
Practice Address - Street 1:1450 E GENEVA ST
Practice Address - Street 2:
Practice Address - City:DELAVAN
Practice Address - State:WI
Practice Address - Zip Code:53115-2025
Practice Address - Country:US
Practice Address - Phone:262-728-0068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2858152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist