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Individual

MS. LAURA A. HARRIGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.N.P.

Contact information

Practice address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3981
(217) 366-1255
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-1255

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209000637
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
160053651
RAILROAD MEDICARE
01
433990
MEDICARE GROUP
Enumeration date
08/01/2006
Last updated
01/05/2022
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