Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 66913-20 | WI |
Y | 207ND0101X | MOHS-Micrographic Surgeon | 66913-20 | WI |
N | 207NS0135X | Procedural Dermatology | 66913-20 | WI |
NPI | 1033478763 |
---|---|
Provider Name | Dr. Lauren Piilani Rimoin |
First Address | Waukesha, WI 53186-1303 |
Second Address | Waukesha, WI 53186-1303 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2012 |
Last Update Date | 03/12/2021 |