Individual
MRS. REBECCA LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, WHNP
Contact information
Practice address
5851 W 95TH ST, SUITE 400, OAK LAWN, IL 60453-2362
(708) 857-7230
(708) 425-5779
Mailing address
5851 W 95TH ST, SUITE 400, OAK LAWN, IL 60453-2362
(708) 857-7230
(708) 425-5779
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
209010819
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209010819
ILLINOIS LICENSE
IL
Enumeration date
10/30/2013
Last updated
01/04/2016
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