Individual
MR. LAWRENCE VINCENT GRATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 FRANKLIN AVE STE 270, NORMAL, IL 61761-3691
(309) 454-1074
(309) 454-3554
Mailing address
1300 FRANKLIN AVE, STE 270, NORMAL, IL 61761-3691
(309) 454-1074
(309) 454-3554
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036059120
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036059120
—
IL
Enumeration date
09/15/2006
Last updated
10/23/2024
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