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Individual

DR. LYNDON ANDREWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
220 W WASHINGTON ST, EAST PEORIA, IL 61611-2477
(877) 201-3765
Mailing address
220 W WASHINGTON STREET, EAST PEORIA, IL 61611-3172

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.031018
IL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/19/2016
Last updated
03/17/2018
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