Individual
LAURA JEAN CORDONNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
5801 PONDVIEW DR, DAYTON, OH 45440-2341
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0102208193
VA
2084P0800X
Psychiatry Physician
Primary
036172829
IL
2084P0800X
Psychiatry Physician
05309
KY
Other
Enumeration date
03/31/2019
Last updated
01/08/2025
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