Individual
LORI A. NOTTMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
200 RICHMOND AVE E, MATTOON, IL 61938-4652
(217) 234-7000
(217) 234-7011
Mailing address
1005 HEALTH CENTER DR STE 201, MATTOON, IL 61938-4693
(217) 238-6055
(217) 258-2216
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209010869
IL
Other
Enumeration date
11/07/2013
Last updated
11/26/2024
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