Lauren Diane Baumann, ATC
Individual provider Active NPI Athletic Trainer · Sturgeon Bay, WI
NPI 1821377375 · NPPES record last updated Nov 10, 2015
Key facts
- NPI
- 1821377375
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 1261-39 (WI)
- Practice address
- 1300 Egg Harbor Rd., Suite 108
Sturgeon Bay, WI 54235-1277 - Phone
- (920) 746-0410
- Fax
- (920) 746-0244
- NPI assigned
- Aug 15, 2011
- 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 |
|---|---|---|---|
| 1261-39 | WI | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1261-39 | WI | Yes |
Addresses
Primary practice location
1300 Egg Harbor Rd., Suite 108
Sturgeon Bay, WI 54235-1277
Mailing address
1300 Egg Harbor Rd., Suite 108
Sturgeon Bay, WI 54235-1277
Phone (920) 746-0410
Other providers in Sturgeon Bay, WI
- Patti Ann Balestrieri
- Lisa Barnaby
- David Paul Bartel
- Ellen Cynthia Barton
- Paul Joseph Bastman
- Bay Counseling Clinic, LLP
- Bay Hometown Pharmacy LLC
- Bay Hometown Pharmacy LLC
- Bay Pharmacies Inc
- Bay Pharmacies Inc
All providers in Sturgeon Bay, WI · Athletic Trainer in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2015. 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.