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1528899770
LANCE LABERGE
CHICAGO, IL
NPI
1528899770
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209027335)
Enumeration Date
2024-08-09
Last Update Date
2024-08-09
Business Address
LANCE LABERGE FNP
5700 S MARYLAND AVE
CHICAGO, IL 60637-1426
Phone number: 888-824-0200
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Mailing Address
LANCE LABERGE FNP
7251 W LAWRENCE AVE APT 1B
HARWOOD HEIGHTS, IL 60706-3548
Phone number: 530-927-8846
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