Individual
MRS. PAMELA SUE LAWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN/MHP
Contact information
Practice address
12 W HARRISON ST, SULLIVAN, IL 61951-1907
(217) 728-4358
Mailing address
12 W HARRISON ST, SULLIVAN, IL 61951-1907
(217) 728-4358
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043123297
IL
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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