| Organization Name: | COUNTY OF LAWRENCE HEALTH DEPARTMENT |
| NPI Number: | 1528298015 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PHYLLIS WELLS (ADMINISTRATOR) |
| Mailing Address: | 11020 State Route 250 Lawrenceville |
| State: | IL US |
| Postal Code: | 624393379 |
| Phone Number: | 6189433754 |
| Fax Number: | 6189433657 |
| NPI Enumeration Date: | 07/20/2009 |
| NPI Last Update Date: | 08/28/2012 |
| 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: | |