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LYNNETTE A DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
2419 W CORNERSTONE CT, PEORIA, IL 61614-2529
(309) 692-2025
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
209.007712
IL
367A00000X
Advanced Practice Midwife
209007712
IL

Other

Enumeration date
08/13/2009
Last updated
04/15/2026
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