Individual
LINDSAY ANN BRACKNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5666 E STATE ST, ROCKFORD, IL 61108-2425
(815) 395-5108
Mailing address
5666 E STATE ST, ROCKFORD, IL 61108-2425
(815) 395-5108
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036.137805
IL
Other
Enumeration date
06/11/2010
Last updated
01/06/2016
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