Individual
JALAYNE M LAPKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
320 E ARMSTRONG, PEORIA, IL 61637-0001
(309) 624-9680
Mailing address
320 E ARMSTRONG, PEORIA, IL 61637-0001
(309) 624-9680
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036061411
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036061411
—
IL
01
—
07215036
BCBS
IL
01
—
IL0199
JOHN DEERE HEALTH PLAN
IL
Enumeration date
01/27/2006
Last updated
04/10/2013
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