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Individual
LANI J DESTREE
Active
Individual
LANI J DESTREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS APN CNS CDE
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
041304614
IL
364S00000X
Clinical Nurse Specialist
Primary
209005244
IL
Other
Enumeration date
02/19/2009
Last updated
02/19/2009
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