Individual
TAYLOR LINDSEY REISMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1800 E 54TH ST, DAVENPORT, IA 52807-2852
(563) 344-7546
(309) 344-1373
Mailing address
4909 N GLEN PARK PLACE RD, PEORIA, IL 61614-4689
(309) 674-7546
(309) 691-9286
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085.008296
IL
363A00000X
Physician Assistant
Primary
108139
IA
Other
Enumeration date
08/27/2019
Last updated
05/14/2021
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