| Organization Name: | LAWRENCE COUNTY HEALTH DEPARTMENT |
| NPI Number: | 1134358922 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PHYLLIS WELLS (ADMINISTRATOR) |
| Mailing Address: | Rural Route3 Box 430 Lawrenceville |
| State: | IL US |
| Postal Code: | 62439 |
| Phone Number: | 6189433754 |
| Fax Number: | |
| NPI Enumeration Date: | 07/14/2009 |
| NPI Last Update Date: | 07/29/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 036-105698 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |