Laurie Lee Wolf, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

30639 Issued in WI

Practice address

510 N 17TH Ave
Suite A1
Wausau, WI 54401-4200

Phone

(715) 298-5783

Fax

(715) 298-5784

NPI assigned

Aug 9, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1174524615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N 17TH AVE",
            "address_2": "SUITE A1",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014200",
            "telephone_number": "715-298-5783",
            "fax_number": "715-298-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N 17TH AVE",
            "address_2": "SUITE A1",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014200",
            "telephone_number": "715-298-5783",
            "fax_number": "715-298-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "LAURIE",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WI",
            "license": "30639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31530200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacy J. K. Wogernese, PT. DPT
• Heidi Ruth Wohlrabe, M.D.
• Nicole Marie Woitula, MSW, APSW
• Alicia Wojtalewicz, APNP
• Sarah Wojtech
• Deborah Lynn Wolfe, MS, CCC-SLP
• Trevor Wolfe, DPT
• Madilyn Rae Woller, M.S.
• Britta Wolter, APNP
• Denise Wonsil-Michlig

• Physical Medicine & Rehabilitation Physician in Wausau, WI
• Providers in Wausau, WI by specialty
• Physical Medicine & Rehabilitation Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.