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Individual
LAURYN M MONAHAN
Active
Individual
LAURYN M MONAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070017855
IL
2255A2300X
Athletic Trainer
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00865630
MEDICARE RR
IL
01
—
P00931534
MEDICARE RAILROAD
IL
Enumeration date
04/12/2010
Last updated
07/19/2011
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