Individual
DR. LAWRENCE JOHN JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
2300 N CHILDRENS PLZ, DEPARTMENT OF PATHOLOGY, CHICAGO, IL 60614-3363
(773) 880-4438
(773) 880-8127
Mailing address
2300 N CHILDRENS PLZ, CHICAGO, IL 60614-3363
(773) 880-8290
Taxonomy
Speciality
Code
Description
License number
State
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
Primary
036-092641
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036-092641
IL
Other
Enumeration date
08/15/2006
Last updated
11/02/2011
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