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

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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