# COUNTY OF LAWRENCE HEALTH DEPARTMENT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COUNTY OF LAWRENCE HEALTH DEPARTMENT
- **Other names:** Lawrence County Health Department Palliative Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1073334835
- **Legal business name:** COUNTY OF LAWRENCE HEALTH DEPARTMENT
- **Authorized official:** TINA LYDEN (DIRECTOR OF PATIENT ACCOUNTS)
- **Authorized official phone:** (618) 943-3302

## Contact information

- **Practice address:** 2101 JAMES ST, LAWRENCEVILLE, IL 62439-2027
- **Practice address phone:** (618) 943-3302
- **Mailing address:** 2101 JAMES ST, LAWRENCEVILLE, IL 62439-2027
- **Mailing address phone:** (618) 943-3302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/23/2024
- **Last updated:** 10/23/2024