Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 209017514 | IL |
NPI | 1033608047 |
---|---|
Provider Name | Debra Lanette Luhrsen |
First Address | Arlington Heights, IL 60005-1529 |
Second Address | Arlington Heights, IL 60005-1529 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2018 |
Last Update Date | 04/05/2018 |