Individual
CHARLES LAWRENCE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3643 GREEN ST, STEGER, IL 60475-1629
(773) 797-7165
Mailing address
3643 GREEN ST, STEGER, IL 60475-1629
(773) 797-7165
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
G4G4L7H4
IL
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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