Lauren Lyvers Haukap
Pediatrician Nurse Practitioner - Pediatrics
4969 Benchmark Centre Dr Ste 100
Swansea
, Illinois 62226-8928
Lauren Lyvers Haukap
Pediatrician Nurse Practitioner - Pediatrics
4969 Benchmark Centre Dr Ste 100
Swansea
, Illinois 62226-8928
(618) 604-6999
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About
Features
Specialties
- Pediatrician
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Lauren Lyvers Haukap
- 246 Fieldspring Ct
- O Fallon, IL
- Zip : 62269-7140
- Phone : (618) 604-6999
Second Address
- Lauren Lyvers Haukap
- 4969 Benchmark Centre Dr Ste 100
- Swansea, IL
- Zip : 62226-8928
- Phone : (618) 235-2311
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 041-441413 | IL |
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 209.024235041.441413 | IL |
National Provider Identifier
| NPI | 1023651247 |
|---|---|
| Provider Name | Lauren Lyvers Haukap |
| First Address | O Fallon, IL 62269-7140 |
| Second Address | Swansea, IL 62226-8928 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/10/2019 |
| Last Update Date | 26/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.