Individual
MRS. LARA LEE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19767 SALTPETRE RD, CREAL SPRINGS, IL 62922-4115
(618) 997-5311
Mailing address
19767 SALTPETRE RD, CREAL SPRINGS, IL 62922-4115
Taxonomy
Speciality
Code
Description
License number
State
247000000X
Health Information Technician
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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