Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 085006838 | IL |
NPI | 1164990636 |
---|---|
Provider Name | Lauren Nicole Voss |
First Address | Palos Heights, IL 60463-1001 |
Second Address | New Lenox, IL 60451-5200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2018 |
Last Update Date | 24/03/2020 |