Individual
DR. JEANNE LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1216 AMERICAN WAY, SUITE 104, LIBERTYVILLE, IL 60048-3938
(847) 680-1111
Mailing address
1216 AMERICAN WAY, SUITE 104, LIBERTYVILLE, IL 60048-3938
(847) 680-1111
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
IL
Other
Enumeration date
05/11/2007
Last updated
02/15/2008
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