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Lauren Bruner

NPI 1952188104 · on the registry since 2023 · sole proprietor

Practice

Address
2181 Southbrooke Rd
South Jacksonville, IL 62650
Phone
(217) 320-1050

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-09-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois