Provider Demographics
NPI:1508698515
Name:VOS, LAUREN (DPT)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:VOS
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 1:811 HAWKEYE DR APT 103
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-8622
Mailing Address - Country:US
Mailing Address - Phone:815-631-1903
Mailing Address - Fax:
Practice Address - Street 1:2375 SINSINAWA RD
Practice Address - Street 2:
Practice Address - City:HAZEL GREEN
Practice Address - State:WI
Practice Address - Zip Code:53811-9707
Practice Address - Country:US
Practice Address - Phone:608-748-9814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI16953225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist