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Mrs. Lauren S Ponder, APN
Gynecology Physician in Peoria, Illinois
NPI 1598390924

Lauren S Ponder is a Gynecology Physician based in Peoria, IL and is specialized in Gynecology. Lauren S Ponder practices in Peoria, IL and has the professional credentials of APN. The NPI Number for Lauren S Ponder is 1598390924 and holds a License No. 209020864 (Illinois).

The current practice location address for Lauren S Ponder is 6708 N Knoxville Ave Ste 1, Peoria, IL and can be reached out via phone at 309-692-6838.

Location: 6708 N Knoxville Ave Ste 1, Peoria, IL, 61614-2863
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598390924
Provider Name
Lauren S Ponder
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
6708 N Knoxville Ave Ste 1, Peoria, IL, 61614-2863
Phone Number
309-692-6838
Fax Number
Provider Enumeration Date
03/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6708 N Knoxville Ave Ste 1
City
Peoria
State
Illinois
Zip
61614-2863
Phone Number
309-692-6838
Fax Number
person
Provider Business Mailing Address Details
Address
6708 N Knoxville Ave Ste 1
City
Peoria
State
Illinois
Zip
61614-2863
Phone Number
309-692-6838
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
207VG0400X
License No.
209020864 (Illinois)
Definition
Definition to come...
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