Individual
ANGIE BURROWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
401 9TH ST, LACON, IL 61540-1140
(309) 246-2175
Mailing address
401 9TH ST, LACON, IL 61540-1140
(309) 246-2175
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043119671
IL
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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