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Individual

LAUREL BETH HOLZE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1415 S ARLINGTON HTS RD, ARLINGTON HTS, IL 60005
(847) 439-1005
(847) 439-7555
Mailing address
1415 S ARLINGTON HTS RD, ARLINGTON HTS, IL 60005
(847) 439-1005
(847) 439-7555

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
COOO2389
MD
363A00000X
Physician Assistant
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA52330
CDS
MD
Enumeration date
02/01/2007
Last updated
03/07/2023
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