Individual
LAUREN LEMENAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
122 E WABASH AVE, FORREST, IL 61741-9369
(815) 657-8707
(815) 657-8717
Mailing address
122 E WABASH AVE, FORREST, IL 61741-9369
(815) 657-8707
(815) 657-8717
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
085005214
IL
363A00000X
Physician Assistant
Primary
085005214
IL
Other
Enumeration date
12/30/2014
Last updated
04/10/2020
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