Provider Demographics
NPI:1487546099
Name:WALSH, LAUREN (NBC-HWC)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:WALSH
Suffix:
Gender:X
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 HOSPITAL DR STE 212
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:WI
Mailing Address - Zip Code:53098-3336
Mailing Address - Country:US
Mailing Address - Phone:920-471-4044
Mailing Address - Fax:
Practice Address - Street 1:123 HOSPITAL DR STE 212
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:WI
Practice Address - Zip Code:53098-3336
Practice Address - Country:US
Practice Address - Phone:920-471-4044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator