Ms Lauren Virginia Smith, PNP | |
1250 Mercantile Dr, Highland, IL 62249-1239 | |
(618) 654-4449 | |
(618) 654-3974 |
Full Name | Ms Lauren Virginia Smith |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 1250 Mercantile Dr, Highland, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265102990 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 209021994 (Illinois) | Primary |
Entity Name | Washington University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194765685 PECOS PAC ID: 9830008770 Enrollment ID: O20040607000287 |
Mailing Address | Practice Location Address |
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Ms Lauren Virginia Smith, PNP 1250 Mercantile Dr, Highland, IL 62249-1239 Ph: (618) 654-4449 | Ms Lauren Virginia Smith, PNP 1250 Mercantile Dr, Highland, IL 62249-1239 Ph: (618) 654-4449 |
Erika Schulze, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30 Apex Dr, Suite 2, Highland, IL 62249 Phone: 618-651-2727 Fax: 618-654-7905 | |
Dr. Kristi Lee Woods, DNP(C), FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1006 Walnut St, Highland, IL 62249 Phone: 618-651-3000 | |
Kelsey Reding, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2568 Becker Rd, Highland, IL 62249 Phone: 618-920-7094 | |
Stacy Rae Marriott, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12860 Troxler Ave, Highland, IL 62249 Phone: 618-651-2810 | |
Danielle L. Bogue, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1212 Broadway, Highland, IL 62249 Phone: 618-651-0022 Fax: 618-651-0023 | |
Erica Sue Kniepkamp, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1250 Mercantile Dr, Highland, IL 62249 Phone: 618-654-4449 |