Individual
LAUREN JEANNE MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1723 HOWARD ST, EVANSTON, IL 60202-3735
(224) 307-8550
Mailing address
14101 ELLISON AVE, OMAHA, NE 68164-5121
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.011202
IL
Other
Enumeration date
06/27/2023
Last updated
04/27/2025
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