Individual
LISA RIECHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 SPRING ST, RED BUD, IL 62278-1105
(618) 282-3831
(618) 282-6101
Mailing address
325 SPRING ST, RED BUD, IL 62278-1105
(618) 282-3831
(618) 282-6101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209014298
IL
363LF0000X
Family Nurse Practitioner
209.014298
IL
Other
Enumeration date
05/17/2016
Last updated
01/25/2023
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