Lisa B Lyell APN

NPI 1164719738 - Nurse Practitioner - 363LP0808X

NPI Details
NPI 1164719738
Gender Female
Enumeration Date 07/05/2011
Last Updated 04/06/2012
Entity Type Individual
Active Over 6 years ago
Practice Location
2401 W MAIN ST
MARION IL, 62959-1188, US
Phone (618) 997-5311
Fax (618) 998-5668
Business Location
2401 W MAIN ST
MARION IL, 62959-1188, US
Phone (618) 997-5311
Fax (618) 998-5668
Toxanomy
Taxonomy Code 363LP0808X
License State Illinois
License Number 209-008558
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According to our database, Ms. Lisa B Lyell APN NPI is 1164719738, taxonomy code is 363LP0808X and license number is 209-008558, license state is located at Illinois. Lisa B Lyell APN physically located at 2401 W Main St, Marion IL, 62959-1188. NPI Number Lisa B Lyell APN has the Individual type.

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1164719738 NPI number is provided on an as is basis without warranty of any kind. 1164719738 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa B Lyell APN are for informational purposes only.