Individual provider · Type 1 NPI

Lauren Leah Listau, PA-C

Physician Assistant · Madison, WI

NPI number 1407769979 Active

Practice location

1211 Fish Hatchery Rd
Madison, WI 53715-1909

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X905623 (WI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1407769979

Lauren Leah Listau, PA-C's National Provider Identifier is 1407769979, issued on Sep 25, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Madison, WI. The record was last updated on Sep 25, 2026.