Individual
LYNN COFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
607 BUCHANAN STREET, CARTHAGE, IL 62321
(217) 357-3176
(217) 357-6609
Mailing address
36 SECOND STREET, CARTHAGE, IL 62321
(217) 357-3176
(217) 357-6609
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
IL
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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