Individual
LAUREN WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
133 SPINDER DR, EAST PEORIA, IL 61611-0016
(309) 308-5100
Mailing address
133 SPINDER DR, EAST PEORIA, IL 61611-0016
(309) 308-5100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209023234
IL
Other
Enumeration date
12/28/2021
Last updated
08/22/2023
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