Provider Demographics
NPI:1639532286
Name:SCHAU, LAUREN FANGMAN (DDS)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:FANGMAN
Last Name:SCHAU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:ELIZABETH
Other - Last Name:FANGMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3455 STONEMAN RD STE 2B
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52002-5269
Mailing Address - Country:US
Mailing Address - Phone:712-830-5824
Mailing Address - Fax:
Practice Address - Street 1:3455 STONEMAN RD STE 2B
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52002-5269
Practice Address - Country:US
Practice Address - Phone:563-582-1478
Practice Address - Fax:563-582-1479
Is Sole Proprietor?:No
Enumeration Date:2016-03-31
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IADDS-09340122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist