LAURI GREEN M.D. S.C.
Psychiatric at Quail Ct, Pewaukee, WI

License number
Wisconsin 38185
Category
Psychiatric
Type
Psychiatry
Owner
Name: LAURI THERESA GREEN M.D.
Title: OWNER
Phone: (262) 695-1212
Address
Address
1177 Quail Ct SUITE 101, Pewaukee, WI 53072
National Provider ID: 1710992268
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LAURI GREEN, M.D., S.C

1177 Quail Ct SUITE 101, Pewaukee, WI 53072

Industry:
Psychiatrist
Doing business as:
Lauri Green MD
Registration:
May 16, 2001
Phone:
(262) 695-1212 (Phone)
State ID:
C052418
Business type:
Service Corporation
Lauri Theresa Green

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