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

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
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Practice location Address checks out

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

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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