Organization
LAWRENCE COUNTY MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD H KLEIN (CFO)
(618) 943-7202
Entity
Organization
Contact information
Practice address
2200 STATE ST, LAWRENCEVILLE, IL 62439-1852
(618) 943-7249
(618) 943-7223
Mailing address
2200 STATE ST, LAWRENCEVILLE, IL 62439-1852
(618) 943-7249
(618) 943-7223
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
55215
IL
Other
Enumeration date
09/22/2006
Last updated
08/31/2009
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