Individual
CARL ROSS DORRANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 JAMES ST, LAWRENCEVILLE, IL 62439-2027
(618) 943-3302
Mailing address
2101 JAMES ST, LAWRENCEVILLE, IL 62439-2027
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041355759
IL
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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