Individual
LAUREN EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMS, PA-C
Contact information
Practice address
1120 N MELVIN ST, GIBSON CITY, IL 60936-1477
(217) 784-2212
Mailing address
1120 N MELVIN ST, GIBSON CITY, IL 60936-1477
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.011101
IL
Other
Enumeration date
12/18/2024
Last updated
01/02/2026
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