Individual
LISA CERVANTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
132 S WATER ST STE 604, DECATUR, IL 62523-1061
(217) 423-6199
(217) 233-7028
Mailing address
132 S WATER ST STE 604, DECATUR, IL 62523-1061
(217) 423-6199
(217) 233-7028
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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