Individual
DR. ANDREW JEROME LANCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 MAIN ST STE 720, PEORIA, IL 61602-5027
(309) 495-1640
Mailing address
900 MAIN ST STE 720, PEORIA, IL 61602-5027
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036125088
IL
2084P0800X
Psychiatry Physician
R7853
IA
Other
Enumeration date
06/18/2007
Last updated
09/18/2014
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