Lynn Corrie Irvin D.O.

NPI 1144460189 - Developmental Therapist - 222Q00000X

NPI Details
NPI 1144460189
Gender Female
Enumeration Date 03/04/2009
Last Updated 03/04/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1508 N LINDEN ST
BLOOMINGTON IL, 61701-1942, US
Phone (309) 261-1509
Fax (309) 527-3999
Business Location
1508 N LINDEN ST
BLOOMINGTON IL, 61701-1942, US
Phone (309) 261-1509
Fax (309) 527-3999
Toxanomy
Taxonomy Code 222Q00000X
License State Illinois
License Number LI59770209P
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According to our database, Ms. Lynn Corrie Irvin D.O. NPI is 1144460189, taxonomy code is 222Q00000X and license number is LI59770209P, license state is located at Illinois. Lynn Corrie Irvin D.O. physically located at 1508 N Linden St, Bloomington IL, 61701-1942. NPI Number Lynn Corrie Irvin D.O. has the Individual type.

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1144460189 NPI number is provided on an as is basis without warranty of any kind. 1144460189 is maintained by the National Plan & Provider Enumeration System. The contents of Lynn Corrie Irvin D.O. are for informational purposes only.