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Individual

MR. DAVID GLENN LITHGOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1500 N 5TH ST STE 203, SPRINGFIELD, IL 62702-2643
(217) 284-9070
Mailing address
406 S ELM ST, PAXTON, IL 60957-1413
(217) 781-3162

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
2003239
IL

Other

Enumeration date
12/06/2022
Last updated
12/06/2022
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