Individual
JEFFREY LANOUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2668 N 1630 EAST RD, MARTINTON, IL 60951-6055
(815) 428-7630
Mailing address
2668 N 1630 EAST RD, MARTINTON, IL 60951-6055
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
L500390027544
IL
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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