MARY R LAQUERRE (NPI# 1386290872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386290872 |
| Entity Type | Individual |
| Full Name | MARY R LAQUERRE |
| Credential | AA |
| Practice Address |
2323 N Lake Dr Milwaukee WI 53211-4508 |
| Mailing Address |
225 S Executive Dr Brookfield WI 53005-4257 |
| Practice Telephone | 4142911000 |
| Practice Fax Number | 4142911113 |
| Mailing Telephone | 2627874050 |
| Mailing Fax Number | 2624397683 |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | PENDING | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2323 N LAKE DR |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53211-4508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225032691 | Rosemary S Presser | Nurse Practitioner | 2323 N Lake Dr, 7th Floor, Milwaukee, WI 53211-4508 | 2005-06-13 |
| 1205434404 | Emma Stocker | Genetic Counselor, MS | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-10-12 |
| 1669070876 | Hannah Brodner | Genetic Counselor, MS | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-10-12 |
| 1598378531 | Sandra Luz Chapa | Registered Nurse | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-08-28 |
| 1295347227 | Sarah Purpura | Dietitian, Registered | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-08-20 |
| 1780205450 | Kyra Gravelle | Occupational Therapist | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-05-04 |
| 1780213223 | Andrew Michael Ganshirt | Student in an Organized Health Care Education/Training Program | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-04-06 |
| 1346721669 | Rochelle F Hass | Physician Assistant | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2018-08-24 |
| 1053800714 | Heather Jean Biancuzzo | Pharmacist | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2018-05-08 |
| 1609377910 | Caitlin Anne O'toole | Occupational Therapist | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2018-02-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
| 1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
| 1861043952 | Rosina Bloomingdale Norton | Nurse Practitioner | 1921 E Harford Ave, Milwaukee, WI 53211 | 2019-09-20 |
| 1528556255 | Renee Reckelberg | Specialist/Technologist | 3409 North Downer Avenue, Pavilion, Suite 350, Milwaukee, WI 53211 | 2018-04-27 |
| 1700325602 | Wisconsin Vision, Inc. | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211 | 2017-02-13 |
| 1750827556 | Daniel Butz M.d., S.c. | Plastic Surgery | 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 | 2017-01-17 |
| 1528517232 | Therese Simonis | Speech-Language Pathologist | 2390 N Lake Drive, Milwaukee, WI 53211 | 2016-09-23 |
| 1982075701 | Katie Michel | Specialist/Technologist | 3409 N. Downer Ave, Milwaukee, WI 53211 | 2015-10-20 |
| 1255776365 | Sarah Elizabeth Brill | Social Worker | 4433 N Oakland Ave Ste D, Shorewood, WI 53211 | 2013-05-02 |
| 1679814537 | Nicole Anne Parulski | Physical Therapist | 2301 North Lake Dr, Milwaukee, WI 53211 | 2013-03-01 |
| Find all providers in zip 53211 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831705664 | Fauzan Ali | Anesthesiologist Assistant | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-09-17 |
| 1659991891 | Isaac Alghoosen | Anesthesiologist Assistant | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-04-17 |
| 1073132437 | Brett P Siemon | Anesthesiologist Assistant | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-04-15 |
| 1972122448 | Mallory A Mews | Anesthesiologist Assistant | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-04-14 |
| 1568090504 | Nechemiah Leib Kushner | Anesthesiologist Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-03-27 |
| 1205467354 | Steven Erich Kenneth Pollack | Anesthesiologist Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-01-28 |
| 1164052940 | Kelsey Jean Pohlmann | Anesthesiologist Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-01-22 |
| 1790315570 | Austin Robert Chriske | Anesthesiologist Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-01-22 |
| 1568002848 | Jonathan London | Anesthesiologist Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-01-14 |
| 1023658549 | Lea Van Heule | Anesthesiologist Assistant | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-01-13 |
| Find all providers in MILWAUKEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.