Individual
TAMRA LEE POWELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2433 E GRAND AVE, LINDENHURST, IL 60046-5707
(847) 356-3890
Mailing address
2433 E GRAND AVE, LINDENHURST, IL 60046-5707
(847) 356-3890
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
32514-031
WI
Other
Enumeration date
04/21/2006
Last updated
07/08/2007
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