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LAWRENCE SPLITTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3024 E EMPIRE ST STE 3A, BLOOMINGTON, IL 61704-5402
(309) 556-7775
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801
(406) 237-4114

Taxonomy

Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
4185
MT
2083X0100X
Occupational Medicine Physician
Primary
036106936
IL

Other

Enumeration date
07/13/2006
Last updated
08/12/2020
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