Individual
LAUREN TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, CNP
Contact information
Practice address
4219 GATEWAY BLVD, NEWBURGH, IN 47630-7925
(812) 426-9545
(812) 858-4512
Mailing address
PO BOX 631767, CINCINNATI, OH 45263-1767
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209.017186
IL
363L00000X
Nurse Practitioner
Primary
71010381A
IN
Other
Enumeration date
01/29/2018
Last updated
05/05/2023
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