Lauren E Welton
Individual provider Active NPI Case Manager/Care Coordinator · Lawrenceville, IL
NPI 1164071700 · NPPES record last updated Sep 6, 2019
Key facts
- NPI
- 1164071700
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 11362 Country Club Road
Lawrenceville, IL 62439 - Phone
- (618) 943-3302
- Fax
- (618) 943-7589
- NPI assigned
- Sep 6, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | IL | Yes |
Addresses
Primary practice location
11362 Country Club Road
Lawrenceville, IL 62439
Mailing address
PO Box 516
Lawrenceville, IL 62439
Phone (618) 943-3302
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 376006178 | Medicaid | IL |
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All providers in Lawrenceville, IL · Case Manager/Care Coordinator in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.