Individual
DR. LAURA M GRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
7847 W LINCOLN HWY, FRANKFORT, IL 60423-9324
(815) 464-6396
Mailing address
7847 W LINCOLN HWY, FRANKFORT, IL 60423-9324
(815) 464-6396
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009925425
BLUE CROSS BLUE SHIELD
IL
Enumeration date
04/02/2007
Last updated
07/08/2007
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