Individual
MRS. LYNN M CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
1912 S 5TH ST, SPRINGFIELD, IL 62703-3121
(217) 753-8265
Mailing address
1912 S 5TH ST, SPRINGFIELD, IL 62703-3121
(217) 753-8265
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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