Remley, Lauren Revelle

Remley, Lauren Revelle is an individual health care provider with primary practice located at 2300 N Edward St , Decatur IL 62526-4192. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Remley, Lauren Revelle can be contacted via phone (217) 876-2575.

Contact Information

Primary practice address
2300 N Edward St Decatur IL 62526-4192
Phone: (217) 876-2575
Fax: (217) 876-2587
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209009657 Illinois

Profile Details

NPI number 1508129206
LBN Legal business name Remley, Lauren Revelle
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2012
Last updated Oct 8th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508129206 NPPES
Illinois Other 041.353404 RN LICENSE

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