Individual
MS. LISA MARIE LORING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2501 CHATHAM RD STE N, SPRINGFIELD, IL 62704-4188
(815) 781-2608
(815) 604-8044
Mailing address
12250 SINNETT ST, HUNTLEY, IL 60142-6005
(815) 915-1088
(815) 604-8044
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041382958
IL
363L00000X
Nurse Practitioner
Primary
277.003559
IL
363LF0000X
Family Nurse Practitioner
209.017246
IL
Other
Enumeration date
12/19/2017
Last updated
12/01/2025
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