Individual
LAUREN RUMLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 MAIN ST STE 470, PEORIA, IL 61602-5021
(309) 671-8297
Mailing address
900 MAIN ST STE 470, PEORIA, IL 61602-5021
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209022726
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209022726
LICENSE
IL
Enumeration date
10/27/2021
Last updated
10/27/2021
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