Individual
ELAINE MARIE LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
954 W STATE ST, SYCAMORE, IL 60178
(815) 895-9144
(815) 895-5740
Mailing address
9715 PRAIRIE RDG, RICHMOND, IL 60071-9112
(815) 678-2121
(815) 678-7042
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
041290754
IL
Other
Enumeration date
03/09/2006
Last updated
04/23/2026
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