Individual
LAVINIA ROXANA COVACIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
6513 PALMA LN, MORTON GROVE, IL 60053-1456
(773) 575-5213
Mailing address
6513 PALMA LN, MORTON GROVE, IL 60053-1456
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.021647
IL
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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