Individual
MRS. LAUREN MARIE FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1890 SILVER CROSS BLVD STE 275, NEW LENOX, IL 60451-9528
(815) 727-4292
Mailing address
1890 SILVER CROSS BLVD, STE 265, NEW LENOX, IL 60451-9623
(815) 955-1481
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.022496
IL
Other
Enumeration date
01/28/2021
Last updated
02/17/2021
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