Most Relevant Information
Provider Data
| NPI Number: | 1003373200 |
| Provider Name: | LAUREN NICOLE MARSHALL FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 2019005033 |
Most Important Dates
| Enumeration Date: | 02/23/2019 |
| Last Updated: | 01/18/2024 |
Provider Practice Location
4500 MEMORIAL DR
BELLEVILLE
IL
622265360
Practice Location Phone/Fax
| Phone: | 6182575455 |
| Fax: | 6182574490 |
Provider Mailing Location
4500 MEMORIAL DR
BELLEVILLE
IL
622265360
Provider Mailing Phone/Fax
| Phone: | 6182575455 |
| Fax: | 6182574490 |