Individual
LAURAN E MEJIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
16129 KELLEY RD, PECATONICA, IL 61063-9449
(815) 329-3959
Mailing address
2222 E STATE ST, SUITE 209, ROCKFORD, IL 61104-1573
(815) 988-8500
(815) 977-5956
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.0011007
IL
Other
Enumeration date
11/27/2013
Last updated
04/05/2024
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