Individual
MRS. LAUREN MARIE PANNER
Active
Individual
MRS. LAUREN MARIE PANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041407182
IL
363LF0000X
Family Nurse Practitioner
Primary
209011026
IL
Other
Enumeration date
06/02/2014
Last updated
09/07/2016
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