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1073804258
LAWRENCE ADRIAN FREEMAN
ROCKFORD, IL
NPI
1073804258
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209008729)
Enumeration Date
2011-04-22
Last Update Date
2021-02-19
Business Address
Mr. LAWRENCE ADRIAN FREEMAN fnp
2473 MCFARLAND RD
ROCKFORD, IL 61107
Phone number: 779-696-9202
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Mailing Address
Mr. LAWRENCE ADRIAN FREEMAN fnp
PO BOX 78866
MILWAUKEE, WI 53278-8866
Phone number: 779-696-7150
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