TEDRA ANN LAWRENCE

MOUNT VERNON, IL
NPI1538988829
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209030718)
Enumeration Date2024-10-04
Last Update Date2024-12-17
Business Address
TEDRA ANN LAWRENCE APRN
209 CROSSROADS PL STE 120
MOUNT VERNON, IL 62864-6545
Phone number: 618-918-6045
Mailing Address
TEDRA ANN LAWRENCE APRN
209 CROSSROADS PL STE 120
MOUNT VERNON, IL 62864-6545
Phone number: 618-918-6045
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