Individual
LARA ELIZABETH VOLLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
331 S MAIN ST, VIRGNIA, IL 62691-1591
(217) 452-3057
(217) 452-7814
Mailing address
331 S MAIN ST, VIRGINIA, IL 62691-1519
(217) 452-3057
(217) 452-7814
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209002664
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285657684
NPI
IL
Enumeration date
07/26/2006
Last updated
09/10/2010
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