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

Mary R Laquerre, AA

Individual provider Anesthesiologist Assistant · NPI 1386290872

Mary R Laquerre, AA is an Anesthesiology Assistant in Milwaukee, Wisconsin. Qualified in 2019, 7 years ago. Practices with Madison Anesthesiology Consultants, LLP, a 41-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
7
Licensed in
WI
In the registry since
2019

Practice location Address checks out

2323 N Lake Dr
Milwaukee, WI 53211-4508
Phone: (414) 291-1000
Fax: (414) 291-1113
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence PENDING (WI)

Record details

NPI number1386290872
Entity typeIndividual (Type 1)
GenderFemale
Credentials AA
Sole proprietorNo
NPI enumeratedAugust 12, 2019
Last updated in NPPESAugust 12, 2019
Mailing address225 S Executive Dr, Brookfield, WI 53005-4257

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Madison Anesthesiology Consultants, Llp — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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