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Individual

ASHLEIGH LAMB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
100 JEFFERSON ST, OREGON, IL 61061-1612
(779) 245-4188
Mailing address
782 E SPRING CREEK RD, OREGON, IL 61061-9439

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043108785
IL

Other

Enumeration date
10/03/2019
Last updated
10/03/2019
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