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Individual

LAURA J. JORGENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
1515 E LAKE ST STE 202, HANOVER PARK, IL 60133-7152
(844) 599-3700
Mailing address
1502 PARKVIEW AVE, ROCKFORD, IL 61107-1821
(815) 381-7250
(815) 381-7251

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-013937
IL

Other

Enumeration date
05/16/2016
Last updated
02/14/2024
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