Individual
LIRA LUNA PALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
5758 S MARYLAND AVE, CHICAGO, IL 60637-1426
(773) 702-9396
(773) 834-1764
Mailing address
5841 S MARYLAND AVE STE A621, CHICAGO, IL 60637-1443
(773) 702-9396
(773) 834-1764
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209025480
IL
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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