Individual
DR. LAUREN M CHRISTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1111 TRINITY LN STE 111, BLOOMINGTON, IL 61704-8112
(309) 608-5100
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801-2500
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
016.006082
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016.006082
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0021829
—
OH
Enumeration date
03/25/2019
Last updated
10/24/2024
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