Laura M Lundgren (NPI# 1588997308, PAC ID# 7416095872) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1588997308 |
| PAC ID by PECOS | 7416095872 |
| Professional Enrollment ID | I20091105000394 |
| Full Name | Laura M Lundgren |
| Organization Legal Name | OCA, SC |
| Address |
2105 E Enterprise Ave Suite 212 Appleton WI 54913-7862 |
| Phone Number | 9207313111 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8628089331 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520045 | THEDA CLARK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2105 E Enterprise Ave, Suite 212, Appleton, WI 54913-7862 | 9207313111 | OCA, SC |
| 102 Grand Seasons Dr, Waupaca, WI 54981-8298 | 9207313111 | OCA, SC |
| Organization Legal Name | OCA, SC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carissa J Meyer | Nurse Practitioner | Oca, Sc | 2105 E Enterprise Ave, Suite 212, Appleton, WI 54913-7862 |
| Sheryl A Gauthier | Physician Assistant | Oca, Sc | 2105 E Enterprise Ave, Suite 212, Appleton, WI 54913-7862 |
| Brian L Lohrbach | Orthopedic Surgery | Oca, Sc | 2105 E Enterprise Ave, Suite 212, Appleton, WI 54913-7862 |
| Jared Matthew Mclister | Physician Assistant | Oca, Sc | 2105 E Enterprise Ave, Suite 212, Appleton, WI 54913-7862 |
| David A Eggert | Orthopedic Surgery | Oca, Sc | 2105 E Enterprise Ave, Suite 212, Appleton, WI 54913-7862 |
| Timothy S Mologne | Orthopedic Surgery | Oca, Sc | 2105 E Enterprise Ave, Suite 212, Appleton, WI 54913-7862 |
| Benjamin J Luitjens | Physician Assistant | Oca, Sc | 2105 E Enterprise Ave, Suite 212, Appleton, WI 54913-7862 |
| Street Address |
2105 E ENTERPRISE AVE SUITE 212 |
| City | APPLETON |
| State | WI |
| Zip | 54913-7862 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jarrod P Schuh | Physical Therapy | Advanced Physical Therapy and Sports Medicine Sc | 2105 E Enterprise Ave, Suite 113, Appleton, WI 54913-7862 |
| Jonathan D Freeman | Physical Therapy | Advanced Physical Therapy and Sports Medicine Sc | 2105 E Enterprise Ave, Suite 113, Appleton, WI 54913-7862 |
| Christopher T Hupf | Physical Therapy | Advanced Physical Therapy and Sports Medicine Sc | 2105 E Enterprise Ave, Suite 113, Appleton, WI 54913-7862 |
| Allison M Salm | Occupational Therapy | Advanced Physical Therapy and Sports Medicine Sc | 2105 E Enterprise Ave, Suite 113, Appleton, WI 54913-7862 |
| Cary A Luitjens | Physical Therapy | Advanced Physical Therapy and Sports Medicine Sc | 2105 E Enterprise Ave, Suite 113, Appleton, WI 54913-7862 |
| Todd A Derksen | Podiatry | Valley Orthopedic Clinic Sc | 2105 E Enterprise Ave, Suite 111, Appleton, WI 54913-7862 |
| Kyle Schumacher | Physical Therapy | Advanced Physical Therapy and Sports Medicine Sc | 2105 E Enterprise Ave, Suite 113, Appleton, WI 54913-7862 |
| Jason K Koenigs | Physical Therapy | Advanced Physical Therapy and Sports Medicine Sc | 2105 E Enterprise Ave, Suite 113, Appleton, WI 54913-7862 |
| Carissa J Meyer | Nurse Practitioner | Oca, Sc | 2105 E Enterprise Ave, Suite 212, Appleton, WI 54913-7862 |
| Lara A Bleck | Physical Therapy | Advanced Physical Therapy and Sports Medicine Sc | 2105 E Enterprise Ave, Suite 113, Appleton, WI 54913-7862 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brent R Weed | Dermatology | Forefront Dermatology Sc | 3935 N Lightning Dr, Appleton, WI 54913-6717 |
| Peter J Katz | Dermatology | Forefront Dermatology Sc | 3935 N Lightning Dr, Appleton, WI 54913-6717 |
| Marcella K Teske | Nurse Practitioner | Forefront Dermatology Sc | 3935 N Lightning Dr, Appleton, WI 54913-6717 |
| Michelle D Lewis | Dermatology | Forefront Dermatology Sc | 3935 N Lightning Dr, Appleton, WI 54913-6717 |
| Noam Littman | Diagnostic Radiology | Synergy Radiology Associates Pllc | 4528 N Grassmere Ct, Appleton, WI 54913-6809 |
| Steven J Hagen | Family Practice | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Court, Appleton, WI 54913-6956 |
| Jonathan E Hagen | Family Practice | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Court, Appleton, WI 54913-6956 |
| Judith M Anderson | Nurse Practitioner | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Court, Appleton, WI 54913-6956 |
| Rachel Rockweiler | Physician Assistant | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Ct, Appleton, WI 54913-6957 |
| Stephen C Fuller | Family Medicine | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Ct, Appleton, WI 54913-6957 |
| Find all physicians in zip 54913 | |||
| City | APPLETON |
| Zip Code | 54913 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | APPLETON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Laura M Lundgren.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.