Individual
DR. LAUREN JAYNE LATTERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD, MS
Contact information
Practice address
3350 ILLINOIS ST, GREAT LAKES, IL 60088
(847) 688-5568
Mailing address
4122 BITTERNUT LN APT 301, GURNEE, IL 60031-9351
(952) 381-4167
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10562
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10562T
TRICARE
TX
Enumeration date
11/29/2022
Last updated
11/29/2022
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