Individual
MISS LEE ANN HART MCCAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.N.
Contact information
Practice address
405 W JACKSON ST, CARBONDALE, IL 62901-1462
(618) 549-0721
Mailing address
12316 BURGHOFF ST, CARBONDALE, IL 62901-0812
(618) 534-5790
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.002494
IL
Other
Enumeration date
07/27/2009
Last updated
07/27/2009
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