Individual
DR. LIONEL JUNIOR MALEBRANCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
112 NE CRESCENT AVE, PEORIA, IL 61606-1901
(309) 672-4670
(309) 672-4669
Mailing address
112 NE CRESCENT AVE, PEORIA, IL 61606-1901
(309) 672-4670
(309) 672-4669
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C1-0009208
DE
207R00000X
Internal Medicine Physician
C1-0009208
IL
207RC0000X
Cardiovascular Disease Physician
C1-0009208
DE
207RC0000X
Cardiovascular Disease Physician
Primary
C1-0009208
IL
Other
Enumeration date
11/26/2007
Last updated
10/18/2022
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