Individual
AMBER LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10330 S ROBERTS RD, PALOS HILLS, IL 60465-1971
(708) 237-7200
(708) 237-7201
Mailing address
10330 S ROBERTS RD, PALOS HILLS, IL 60465-1971
(708) 237-7200
(708) 237-7201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-004222
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085-004222
IL PHYSICIAN LICENSE
IL
Enumeration date
11/15/2011
Last updated
01/24/2025
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