Individual
DR. ANDREW JAMES LERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
207 LANDMARK DR STE A, NORMAL, IL 61761-3195
(309) 268-3200
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801-2500
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036-082725
IL
207Y00000X
Otolaryngology Physician
288547
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04746778
—
NY
Enumeration date
06/25/2005
Last updated
03/24/2025
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