Individual
MRS. JAMIE LEANN LICHTSINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 DOT WAY, MOUNT STERLING, IL 62353-1664
(217) 773-4411
(217) 773-9452
Mailing address
1 DOT WAY, MOUNT STERLING, IL 62353-1664
(217) 773-4411
(217) 773-9452
Taxonomy
Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
Primary
41.421346
IL
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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