Organization
LAWRENCE COMMUNITY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRI L FRIZZI (ASSISTANT ADMINISTRATOR)
(618) 945-2091
Entity
Organization
Contact information
Practice address
900 CORPORATION LINE ST, BRIDGEPORT, IL 62417-2206
(618) 945-2091
Mailing address
900 CORPORATION LINE ST, BRIDGEPORT, IL 62417-2206
(618) 945-2091
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
0045617
IL
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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