NPI 1174968465

Lauren Ann Mies, DDS

Practitioner Dentist Jackson, WI

Practice location

Address: W213n16755 Glen Brooke Dr, Jackson, WI 53037-9489
Phone: (262) 677-4990
Mailing address: 2225 E Ivanhoe Pl, Milwaukee, WI 53202-1205

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 7120-15 (WI)

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Registry record

NPI: 1174968465
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 May 2013
Record last updated: 18 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.