Individual
LISA MARIE WEYBRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
8600 IL-91, PEORIA, IL 61615-6157
(409) 683-5000
Mailing address
701 TERRACE CT, WASHINGTON, IL 61571-1593
(309) 712-4750
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209022343
IL
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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