Laura Sunn MD SC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

26059-020 Issued in WI

Legal business name

LAURA SUNN MD SC

Practice address

5407 8TH Ave
Kenosha, WI 53140-3715

Phone

(262) 654-7866

NPI assigned

Dec 29, 2008

Last updated

Aug 11, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patti Gavagan

Title

Office Manager

Phone

(262) 654-7866

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1518103324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 8TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531403715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5407 8TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531403715",
            "telephone_number": "262-654-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA SUNN MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "GAVAGAN",
        "authorized_official_first_name": "PATTI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "262-654-7866"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "26059-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Henry Laskiewicz, D.O.
• Carolyn Louise Lathan, LPN
• Lindsay B.N. Laubmeier, PT
• Samantha Lauhon
• Laura a Guttormsen DDS LLC
• Dino Laurenzi Jr., L-ATC
• Matthew Lawler, DPT
• Carrie Jean Leber, APSW
• Corrie Ruth Lee, MSW, LCSW, SAC
• David Ansel Lee, DMD

• Psychiatry Physician in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.