Provider Demographics
NPI:1760200745
Name:HARRINGTON, LAUREN (APRN, PMHNP)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:HARRINGTON
Suffix:
Gender:
Credentials:APRN, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1204 E OAK ST STE 2-2
Mailing Address - Street 2:
Mailing Address - City:MAHOMET
Mailing Address - State:IL
Mailing Address - Zip Code:61853-2795
Mailing Address - Country:US
Mailing Address - Phone:217-530-5608
Mailing Address - Fax:309-981-8714
Practice Address - Street 1:1204 E OAK ST STE 2-2
Practice Address - Street 2:
Practice Address - City:MAHOMET
Practice Address - State:IL
Practice Address - Zip Code:61853-2795
Practice Address - Country:US
Practice Address - Phone:217-530-5608
Practice Address - Fax:309-981-8714
Is Sole Proprietor?:No
Enumeration Date:2024-09-30
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041477392163W00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse