Individual
LAUREN DENISE HOUSERIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
409 W OAK ST, CARBONDALE, IL 62901-1464
(618) 529-4455
(618) 351-1287
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004932
IL
Other
Enumeration date
11/04/2013
Last updated
03/07/2024
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