Individual
VIRGINIA LAFRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 W OTTAWA RD, PAXTON, IL 60957
(217) 379-4302
(217) 379-4304
Mailing address
PO BOX 162, PAXTON, IL 60957-0162
(217) 379-4302
(217) 379-4304
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
049094043
IL
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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