Individual
MS. LAURIE LONERGAN CALLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN,CWOCN
Contact information
Practice address
1300 W 2ND ST, ROCK FALLS, IL 61071-1005
(815) 626-2230
Mailing address
PO BOX 361, CLINTON, IA 52733-0361
(563) 242-5316
(563) 242-3128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A074701
IA
363LF0000X
Family Nurse Practitioner
277000125
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
277000125
LICENSE
IL
01
—
A074701
LICENSE
IA
01
—
F0806016
CERTIFICATE APN
IA
Enumeration date
01/10/2007
Last updated
12/16/2019
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