Individual
LAURIE ANN PODESZWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1401 E STATE ST, ROCKFORD, IL 61104-2315
(815) 489-4891
(815) 967-5312
Mailing address
PO BOX 1567, ROCKFORD, IL 61110-0067
(815) 489-4891
(815) 967-5312
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209004715
IL
Other
Enumeration date
02/19/2007
Last updated
03/07/2011
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