Individual
MARY LINSCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
3220 E DIVISION ST, SPRINGFIELD, IL 62702-6215
(217) 544-4005
Mailing address
2628 YALE BLVD, SPRINGFIELD, IL 62703-3913
(217) 416-3485
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043-047623
IL
Other
Enumeration date
11/11/2016
Last updated
11/11/2016
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