Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 41323-020 | WI |
N | 2084N0402X | Child Neurologist | 41323 | WI |
NPI | 1235197351 |
---|---|
Provider Name | Dr. Laura Jean Buyan Dent |
First Address | Middleton, WI 53562-5531 |
Second Address | Madison, WI 57392 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 26/01/2021 |