Individual
LANCE LABERGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
5700 S MARYLAND AVE, CHICAGO, IL 60637-1426
(888) 824-0200
Mailing address
7251 W LAWRENCE AVE APT 1B, HARWOOD HEIGHTS, IL 60706-3548
(530) 927-8846
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209027335
IL
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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