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

Lauren M Mixtacki, MD

Individual provider Family Medicine Physician · NPI 1790171254

Lauren M Mixtacki, MD is a Family Practice in Janesville, Wisconsin. Graduated from University of Wisconsin School of Medicine in 2015, 11 years ago. Licensed in Wisconsin.

Years since qualifying
11
Trained at
University of Wisconsin School of Medicine
Licensed in
WI
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1021 Mineral Point Ave
Janesville, WI 53548-2939
Phone: (608) 268-6211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 67232-20 (WI)

Record details

NPI number1790171254
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2015
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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