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Individual

MACKENZIE LEMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
415 N 9TH ST, SPRINGFIELD, IL 62702-5303
(217) 545-8000
Mailing address
201 E MADISON ST STE 328, SPRINGFIELD, IL 62702-5131
(217) 545-8000

Taxonomy

Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
041438793
IL
363LN0000X
Neonatal Nurse Practitioner
Primary
209.030107
IL

Other

Enumeration date
04/11/2024
Last updated
08/14/2024
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