Individual
MS. LAUREN RENEE MANZARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN-CNP
Contact information
Practice address
580 STAFFORD DR, ROSELLE, IL 60172-2749
(630) 935-0128
Mailing address
580 STAFFORD DR, ROSELLE, IL 60172-2749
(630) 935-0128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209009062
IL
363LA2200X
Adult Health Nurse Practitioner
209.009062
IL
Other
Enumeration date
04/21/2013
Last updated
04/10/2026
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