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Individual

LANCE LABNO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
350 LINDEN AVE, WILMETTE, IL 60091-2843
(847) 372-3816
Mailing address
2441 PROSPECT AVE, EVANSTON, IL 60201-1839
(847) 372-3816

Taxonomy

Speciality
Code
Description
License number
State
2251E1200X
Ergonomics Physical Therapist
070015607
IL
2251G0304X
Geriatric Physical Therapist
070015607
IL
2251S0007X
Sports Physical Therapist
070015607
IL
2251X0800X
Orthopedic Physical Therapist
Primary
070015607
IL
225700000X
Massage Therapist
227001920
IL

Other

Enumeration date
05/07/2008
Last updated
08/02/2012
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