# COUNTY OF LAWRENCE HEALTH DEPARTMENT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982824041
- **Authorized official:** MRS. 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
- **Practice address fax:** (618) 943-5139
- **Mailing address:** 2101 JAMES ST, LAWRENCEVILLE, IL 62439-2027
- **Mailing address phone:** (618) 943-3302
- **Mailing address fax:** (618) 943-5139

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/30/2007
- **Last updated:** 02/02/2023