LAURIE ANN PODESZWA

ROCKFORD, IL
NPI1407990708
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209004715)
Enumeration Date2007-02-19
Last Update Date2011-03-07
Business Address
-- LAURIE ANN PODESZWA APRN
1401 E STATE ST
ROCKFORD, IL 61104-2315
Phone number: 815-489-4891
Mailing Address
-- LAURIE ANN PODESZWA APRN
PO BOX 1567
ROCKFORD, IL 61110-0067
Phone number: 815-489-4891