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

Lauren Holly Buczkowski

Individual provider Physician Assistant · NPI 1316704075

Lauren Holly Buczkowski is a Physician Assistant in Wauwatosa, Wisconsin. Qualified in 2023, 3 years ago. Practices with Emergency Medicine Specialists SC, a 220-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
3
Licensed in
WI
In the registry since
2024
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Practice location Address checks out

10625 W North Ave Ste 101B
Wauwatosa, WI 53226-2315
Phone: (414) 647-5203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7786-23 (WI)

Record details

NPI number1316704075
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 29, 2024
Last updated in NPPESFebruary 29, 2024
Certification dateFebruary 29, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Emergency Medicine Specialists Sc — 220 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Wauwatosa