Individual
LORI ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APN, FNP-BC, AT
Contact information
Practice address
501 W PRITCHARD ST, ANNAWAN, IL 61234-9703
(563) 370-4086
(309) 520-2565
Mailing address
501 W PRITCHARD ST, ANNAWAN, IL 61234-9703
(563) 370-4086
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
096002723
IL
363LF0000X
Family Nurse Practitioner
Primary
209032730
IL
Other
Enumeration date
08/24/2018
Last updated
02/17/2026
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