Individual
SARAH ROSE LANOUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
482 BROWN BLVD, BOURBONNAIS, IL 60914-2324
(815) 939-2012
Mailing address
1005 S ELM AVE, KANKAKEE, IL 60901-5431
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1841298871
IL
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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