Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Laura M Lundgren, PAC

Individual provider Surgical Physician Assistant · NPI 1588997308

Laura M Lundgren, PAC is a Physician Assistant in Appleton, Wisconsin. Qualified in 2009, 17 years ago. Practices with Hand to Shoulder Center of Wisconsin, Ltd, a 34-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
17
Licensed in
WI
In the registry since
2009
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

2105 E Enterprise Ave
Appleton, WI 54913-7862
Phone: (920) 560-1000
Fax: (920) 731-7133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 102 Grand Seasons Dr Ste 1, Waupaca, WI 54981-8298 — (920) 560-1000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2505 (WI)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 2505-23 (WI)

Record details

NPI number1588997308
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedSeptember 11, 2009
Last updated in NPPESMarch 14, 2023
Certification dateMarch 14, 2023
Mailing address2105 E Enterprise Ave, Appleton, WI 54913-7862

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Hand To Shoulder Center Of Wisconsin, Ltd. — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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