Individual
LYN TANGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
611 W. PARK ST., COLON & RECTAL SURGERY, URBANA, IL 61801-2500
(217) 383-3080
(217) 383-4868
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
(217) 383-4752
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
036073498
IL
Other
Enumeration date
08/31/2006
Last updated
05/21/2014
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