Lawrence L Jeckel Md Pc

NPI 1003983057 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1003983057
Enumeration Date 11/28/2006
Last Updated 04/04/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LAWRENCE LEE LAWRENCE
Position PRESIDENT
Phone (217) 356-0228
Fax (217) 356-0667
Practice Location
2500 GALEN DRIVE
CHAMPAIGN IL, 61821-7038, US
Phone (217) 356-0228
Fax (217) 356-0667
Business Location
2500 GALEN DRIVE
CHAMPAIGN IL, 61821-7038, US
Phone (217) 356-0228
Fax (217) 356-0667
Toxanomy
Taxonomy Code 2084P0800X
License State
License Number
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According to our database, Lawrence L Jeckel Md Pc NPI is 1003983057, taxonomy code is 2084P0800X Lawrence L Jeckel Md Pc physically located at 2500 Galen Drive, Champaign IL, 61821-7038. NPI Number 1033115704 has the healthcare provider type.

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1003983057 NPI number is provided on an as is basis without warranty of any kind. 1003983057 is maintained by the National Plan & Provider Enumeration System. The contents of Lawrence L Jeckel Md Pc are for informational purposes only.