Individual
LORRAINE K METCALF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
309 W HIGH ST, URBANA, IL 61801-3206
(217) 552-0420
Mailing address
309 W HIGH ST, URBANA, IL 61801-3206
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.009697
IL
Other
Enumeration date
04/04/2013
Last updated
04/04/2013
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