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Organization

LAWRENCE P JENNINGS M D M S C

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Organization

LAWRENCE P JENNINGS M D M S C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAWRENCE P JENNINGS M.D. (PRESIDENT)
(618) 262-5113
Entity
Organization

Contact information

Practice address
1430 COLLEGE DR, SUITE A, MOUNT CARMEL, IL 62863-2649
(618) 262-5113
(618) 263-3195
Mailing address
1430 COLLEGE DR, SUITE A, MOUNT CARMEL, IL 62863-2649
(618) 262-5113
(618) 263-3195

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036063272
IL

Other

Enumeration date
05/02/2006
Last updated
04/08/2010
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