Individual
MISS ALEXIS ELIZABETH LORINSKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
202 W JACKSON ST, CARBONDALE, IL 62901-1409
(618) 457-0465
(618) 457-8022
Mailing address
109 CALIFORNIA ST, PO BOX 577, CARTERVILLE, IL 62918-1923
(618) 985-8221
(618) 985-6860
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085004189
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085004189
—
IL
05
—
370966854006
—
IL
05
—
370966854017
—
IL
01
—
CF3444
MEDICARE RAILROAD
IL
Enumeration date
11/04/2011
Last updated
11/04/2011
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