Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 4960 | WI |
N | 111NS0005X | Chiropractic Sports Physician | 038.007130 | IL |
NPI | 1336567437 |
---|---|
Provider Name | Dr. Laura M Harrigan |
First Address | Wauwatosa, WI 53213-3367 |
Second Address | Wauwatosa, WI 53213-3367 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2014 |
Last Update Date | 02/12/2021 |