Individual
LORI BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5850 6TH STREET FRONTAGE RD E STE A, SPRINGFIELD, IL 62703-5194
(217) 529-5046
Mailing address
1307 E MONROE ST, SPRINGFIELD, IL 62703-1224
(217) 553-2548
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
209014117
IL
363LG0600X
Gerontology Nurse Practitioner
209014117
IL
363LP2300X
Primary Care Nurse Practitioner
Primary
209014117
IL
Other
Enumeration date
03/24/2016
Last updated
03/20/2025
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