| Organization Name: | COUNTY OF LAWRENCE HEALTH DEPARTMENT |
| NPI Number: | 1982824041 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TINA LYDEN (DIRECTOR OF PATIENT ACCOUNTS) |
| Mailing Address: | 11362 Country Club Rd Lawrenceville |
| State: | IL US |
| Postal Code: | 624394325 |
| Phone Number: | 6189433302 |
| Fax Number: | 6189433657 |
| NPI Enumeration Date: | 04/30/2007 |
| NPI Last Update Date: | 01/14/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |