Individual
MISS LEAANNA JEAN CAUTHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
834 NORTH SEMINARY STREET, SUITE 102, GALESBURG, IL 61401
(309) 344-9697
(309) 344-9755
Mailing address
911 W LOSEY ST, GALESBURG, IL 61401-2529
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.022932
IL
Other
Enumeration date
03/05/2021
Last updated
03/18/2024
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