Individual
BROOKE LEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1005 HEALTH CENTER DR, MATTOON, IL 61938-4629
(217) 258-4006
(217) 258-4120
Mailing address
PO BOX 372, MATTOON, IL 61938-0372
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209.023848
IL
363LP0200X
Pediatric Nurse Practitioner
Primary
209-023848
IL
Other
Enumeration date
08/25/2021
Last updated
10/03/2024
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