Individual
LYNN M GRABHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1109 S LINCOLN AVE, URBANA, IL 61801-4703
(217) 333-2711
(217) 244-6495
Mailing address
5308 LONGFIELD RD, BLOOMINGTON, IL 61705-9527
(309) 452-9937
(217) 244-6495
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036069093
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IL2613
MEDICARE GROUP PTAN
IL
01
—
IL2613047
MEDICARE INDIVIDUAL PTAN
IL
Enumeration date
01/18/2007
Last updated
07/07/2010
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