Individual
LAUREN ELIZABETH ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 N GRAND ST, WEST FRANKFORT, IL 62896-1609
(618) 200-0433
Mailing address
507 S MAPLE ST APT C, WEST FRANKFORT, IL 62896-2570
(618) 200-0433
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043126165
IL
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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