Individual
LISA RYAN HOBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3101 FIELDS SOUTH DR, CHAMPAIGN, IL 61822-3743
(217) 366-5418
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3981
(217) 366-5418
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016005818
IL
Other
Enumeration date
05/04/2010
Last updated
01/05/2022
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