Individual
LOURENZ MARIE BALAYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 942-5000
Mailing address
10306 OXFORD ST, WESTCHESTER, IL 60154-4328
(650) 392-9107
Taxonomy
Speciality
Code
Description
License number
State
163WN0800X
Neuroscience Registered Nurse
Primary
041.454208
IL
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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