Active NPI
Laura M Iglesias Lino, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Milwaukee, WI
National Provider Identifier
1992933618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 74077
- Practice address
- 3220 W Vliet St
Milwaukee, WI 53208-2453 - Phone
- (414) 231-4000
- Fax
- (414) 231-4010
- NPI assigned
- Jul 1, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Emergency Medicine) Physician | 207PH0002X | 240572 | MA | |
| Internal Medicine Physician | 207R00000X | 240572 | MA | |
| Hospitalist Physician | 208M00000X | 240572 | MA | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 74077 | MA | Primary |
Addresses
Primary practice location
3220 W Vliet St
Milwaukee, WI 53208-2453
Mailing address
3220 W Vliet St
Milwaukee, WI 53208-2453
Phone (414) 231-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706140800000",
"number": "1992933618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3220 W VLIET ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532082453",
"telephone_number": "414-231-4000",
"fax_number": "414-231-4010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3220 W VLIET ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532082453",
"telephone_number": "414-231-4000",
"fax_number": "414-231-4010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IGLESIAS LINO",
"first_name": "LAURA",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-01",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207PH0002X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Hospice and Palliative Medicine",
"state": "MA",
"license": "240572",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "240572",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MA",
"license": "240572",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MA",
"license": "74077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.