Individual
LORIE SPORRER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
415 N 9TH ST, SUITE 6W100, SPRINGFIELD, IL 62702-5303
(217) 545-8000
(217) 545-0112
Mailing address
PO BOX 19640, SPRINGFIELD, IL 62794-9640
(217) 545-8000
(217) 545-0112
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209-011323
IL
Other
Enumeration date
04/04/2014
Last updated
04/22/2014
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