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Individual

RACHEL T LAPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
200 RICHMOND AVE E STE 4, MATTOON, IL 61938-4652
(217) 238-5345
(217) 238-5348
Mailing address
PO BOX 372, MATTOON, IL 61938-0372

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036112037
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036112037
IL
Enumeration date
06/22/2005
Last updated
09/26/2024
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