Individual
LARA PAPPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
155 E BRUSH HILL RD, ELMHURST, IL 60126-5658
(331) 221-1000
Mailing address
680 N LAKE SHORE DR, SUITE 1000, CHICAGO, IL 60611-4546
(312) 695-9797
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209000448
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209000448
STATE LICENSE
IL
Enumeration date
07/08/2006
Last updated
09/20/2024
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