Individual
LASHON M GURROLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
835 S EAST AVE, OAK PARK, IL 60304-1327
(708) 417-6315
Mailing address
835 S EAST AVE, OAK PARK, IL 60304-1327
(708) 417-6315
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.029487
IL
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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