Most Relevant Information
Provider Data
| NPI Number: | 1003365842 |
| Provider Name: | LAURIE PEERCY DNP, AGNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2200X |
| Specialty: | Nurse Practitioner |
| License Number: | 209014109 |
Most Important Dates
| Enumeration Date: | 09/21/2016 |
| Last Updated: | 10/07/2020 |
Provider Practice Location
3433 W MADISON ST
CHICAGO
IL
606242895
Practice Location Phone/Fax
| Phone: | 7732422299 |
| Fax: | 7738301920 |
Provider Mailing Location
PO BOX 746721
ATLANTA
GA
303746721
Provider Mailing Phone/Fax
| Phone: | 3127339730 |
| Fax: | 7738668014 |