Vishaun Lawrence FNP

NPI 1629473343 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1629473343
Gender Female
Enumeration Date 10/23/2014
Last Updated 09/15/2015
Entity Type Individual
Active Over 2 years ago
Practice Location
503 N MAPLE ST
EFFINGHAM IL, 62401-2006, US
Phone (217) 347-6127
Fax
Business Location
503 N MAPLE ST
EFFINGHAM IL, 62401-2006, US
Phone (217) 347-6127
Fax
Toxanomy
Taxonomy Code 363L00000X
License State Illinois
License Number 209011761
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According to our database, Vishaun Lawrence FNP NPI is 1629473343, taxonomy code is 363L00000X and license number is 209011761, license state is located at Illinois. Vishaun Lawrence FNP physically located at 503 N Maple St, Effingham IL, 62401-2006. NPI Number Vishaun Lawrence FNP has the Individual type.

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1629473343 NPI number is provided on an as is basis without warranty of any kind. 1629473343 is maintained by the National Plan & Provider Enumeration System. The contents of Vishaun Lawrence FNP are for informational purposes only.