Individual
LORING BARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1005 HEALTH CENTER DR STE 201, MATTOON, IL 61938-4653
(217) 258-2409
(217) 258-2323
Mailing address
PO BOX 372, MATTOON, IL 61938-0372
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209014588
IL
363LF0000X
Family Nurse Practitioner
Primary
209.014588
IL
Other
Enumeration date
11/10/2016
Last updated
11/08/2024
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