Lauren Cartledge
Individual provider Active NPI Pharmacist · Edgerton, WI
NPI 1376158808 · NPPES record last updated Sep 11, 2020
Key facts
- NPI
- 1376158808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 19846 (WI)
- Practice address
- 1011 N Main St
Edgerton, WI 53534-1325 - Phone
- (608) 884-3308
- NPI assigned
- Sep 11, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19846 | WI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19846 | WI | Yes |
Addresses
Primary practice location
1011 N Main St
Edgerton, WI 53534-1325
Mailing address
6401 Offshore Dr Apt 111
Madison, WI 53705-4389
Other providers in Edgerton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.