Individual
LARA B BARTELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1001 HEATHER DR, MAHOMET, IL 61853-2754
(217) 586-8400
(217) 586-5093
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004513
IL
Other
Enumeration date
12/20/2012
Last updated
03/21/2018
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