Provider Demographics
NPI:1588379788
Name:LAMPRECHT, SHEREE LACHELLE (MSN, MHA, APRN, FNP)
Entity type:Individual
Prefix:MRS
First Name:SHEREE
Middle Name:LACHELLE
Last Name:LAMPRECHT
Suffix:
Gender:F
Credentials:MSN, MHA, APRN, FNP
Other - Prefix:MISS
Other - First Name:SHEREE
Other - Middle Name:LACHELLE
Other - Last Name:GHENT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, MHA, APRN, FNP
Mailing Address - Street 1:100 PHEASANT RUN APT 131
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:61571-1982
Mailing Address - Country:US
Mailing Address - Phone:309-453-1242
Mailing Address - Fax:
Practice Address - Street 1:100 PHEASANT RUN APT 131
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:IL
Practice Address - Zip Code:61571-1982
Practice Address - Country:US
Practice Address - Phone:309-453-1242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-23
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209026727363LF0000X
IL209.026727207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL209.026727OtherFNP LICENSE NUMBER