Individual
MS. LORRAINE MARIE FEARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2160 S 1ST AVE, BUILDING 150 ROOM 3201, MAYWOOD, IL 60153-3328
(708) 216-2312
(708) 216-7853
Mailing address
2160 S. FIRST AVE., BUILDING 150 ROOM 3201, MAYWOOD, IL 60153
(708) 216-2312
(708) 216-7853
Taxonomy
Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
Primary
209.000726
IL
Other
Enumeration date
11/30/2011
Last updated
03/07/2023
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