Lauren Elizabeth Vandeventer MS, PA-C

NPI 1760884928 - Physician Assistant - 363A00000X

NPI Details
NPI 1760884928
Gender Female
Enumeration Date 09/19/2014
Last Updated 09/19/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
320 W ILLINOIS ST APT 2010
CHICAGO IL, 60654-7834, US
Phone (307) 258-7121
Fax
Business Location
320 W ILLINOIS ST APT 2010
CHICAGO IL, 60654-7834, US
Phone (307) 258-7121
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Illinois
License Number 085005195
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According to our database, Lauren Elizabeth Vandeventer MS, PA-C NPI is 1760884928, taxonomy code is 363A00000X and license number is 085005195, license state is located at Illinois. Lauren Elizabeth Vandeventer MS, PA-C physically located at 320 W Illinois St Apt 2010, Chicago IL, 60654-7834. NPI Number Lauren Elizabeth Vandeventer MS, PA-C has the Individual type.

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1760884928 NPI number is provided on an as is basis without warranty of any kind. 1760884928 is maintained by the National Plan & Provider Enumeration System. The contents of Lauren Elizabeth Vandeventer MS, PA-C are for informational purposes only.