Lauri Theresa Green, MD - Psychiatry & Neurology in Pewaukee, WI

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Lauri Theresa Green, MD is a Psychiatry & Neurology - Psychiatry physician based in Pewaukee, Wisconsin. Lauri Theresa Green is licensed to practice in Wisconsin (license number 38185) and her current practice location is 1177 Quail Ct, Suite 101, Pewaukee, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (262) 695-1212.

NPI number for Lauri Theresa Green is 1922045970 and her current mailing address is 1177 Quail Ct, Suite 101, Pewaukee, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922045970.

Contact Information

Lauri Theresa Green, MD
1177 Quail Ct, Suite 101,
Pewaukee, WI 53072-3790
(262) 695-1212
(262) 695-1919

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Physician's Profile

Full NameLauri Theresa Green
GenderFemale
SpecialityPsychiatry & Neurology - Psychiatry
Location1177 Quail Ct, Pewaukee, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1922045970
  • Provider Enumeration Date: 05/31/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Lauri Theresa Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922045970NPI-NPPES
32265500MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 38185 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lauri Theresa Green is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lauri Theresa Green, MD
1177 Quail Ct, Suite 101,
Pewaukee, WI 53072-3790

Ph: (262) 695-1212		Lauri Theresa Green, MD
1177 Quail Ct, Suite 101,
Pewaukee, WI 53072-3790

Ph: (262) 695-1212

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Psychiatry & Neurology Doctors in Pewaukee, WI


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