Individual
LAUREN LYVERS HAUKAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
4969 BENCHMARK CENTRE DR STE 100, SWANSEA, IL 62226-8928
(618) 235-2311
Mailing address
246 FIELDSPRING CT, O FALLON, IL 62269-7140
(618) 604-6999
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
041-441413
IL
363LP0200X
Pediatric Nurse Practitioner
Primary
209.024235041.441413
IL
Other
Enumeration date
10/21/2019
Last updated
10/26/2021
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