Individual
JEAN LAWRENCE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2400 BELVIDERE RD, WAUKEGAN, IL 60085-6165
(847) 377-8400
Mailing address
PO BOX 178, WADSWORTH, IL 60083-0178
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
IL
Other
Enumeration date
12/09/2005
Last updated
03/07/2023
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