Individual
LORALEE DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
747 N RUTLEDGE ST FL 5, SPRINGFIELD, IL 62702-6700
(217) 545-8000
(217) 545-7305
Mailing address
PO BOX 19665, SPRINGFIELD, IL 62794-9665
(217) 545-8000
(217) 545-7305
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.014926
IL
Other
Enumeration date
10/26/2016
Last updated
07/29/2024
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