Individual
LAURINIA HUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
34344 N US HIGHWAY 45, THIRD LAKE, IL 60030-4031
(847) 543-5440
Mailing address
560 BLAZING STAR DR, LAKE VILLA, IL 60046-9010
(224) 643-7543
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209.007848
IL
363LA2100X
Acute Care Nurse Practitioner
209007848
IL
363LF0000X
Family Nurse Practitioner
209007848
IL
363LP2300X
Primary Care Nurse Practitioner
Primary
209.007848
IL
Other
Enumeration date
11/01/2009
Last updated
03/06/2019
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