Provider Demographics
NPI:1811410426
Name:STROMMEN, LAUREN C (DPT)
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:C
Last Name:STROMMEN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6520 W LAYTON AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53220-4500
Mailing Address - Country:US
Mailing Address - Phone:414-727-3340
Mailing Address - Fax:414-282-9348
Practice Address - Street 1:14999 W BELOIT RD STE B
Practice Address - Street 2:
Practice Address - City:NEW BERLIN
Practice Address - State:WI
Practice Address - Zip Code:53151-7438
Practice Address - Country:US
Practice Address - Phone:414-858-1360
Practice Address - Fax:414-858-1370
Is Sole Proprietor?:No
Enumeration Date:2017-07-25
Last Update Date:2017-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI13780-24225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI13780-24OtherSTATE LICENSE