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Individual

LYNN M FOLLOWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
1501 MCPHERSON AVE, MOUNT VERNON, IL 62864-2831
(618) 241-1360
(618) 241-1865
Mailing address
1501 MCPHERSON AVE, MOUNT VERNON, IL 62864-2831
(618) 241-1360
(618) 241-1865

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209003862
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CE9335
RR GROUP NUMBER
IL
01
P00345209
RR MEDICARE NUMBER
IL
Enumeration date
07/27/2006
Last updated
11/27/2007
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