Individual
LINDSAY M LOEHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
260 E CONGRESS PKWY STE A, CRYSTAL LAKE, IL 60014
(815) 477-0300
(815) 477-0301
Mailing address
260 E CONGRESS PKWY STE A, CRYSTAL LAKE, IL 60014-6235
(815) 477-0300
(815) 477-0301
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209010553
IL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
209010553
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041365976
STATE LICENSE
IL
01
—
209010553
STATE LICENSE
IL
Enumeration date
01/07/2014
Last updated
10/19/2018
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