Doctor Name: | LAURIE A KNOKE |
NPI Number: | 1164495123 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 20900572 |
Business Practice Address: | 2 Cari Ct Dekalb, IL - 601151014 |
Business Phone Number: | 8157582976 |
Business Fax Number: | |
Mailing Address: | 2 Cari Ct, DEKALB |
State: | IL |
Postal Code: | 601151014 |
Phone Number: | 8157582976 |
Fax Number: | |
NPI Enumeration Date: | 02/09/2006 |
NPI Last Update Date: | 11/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | 20900572 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |