Individual
DR. LISA ELAINE LAURENZANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-2210
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.077583
IL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036-175132
IL
208100000X
Physical Medicine & Rehabilitation Physician
125-077583
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/17/2020
Last updated
07/22/2025
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