Individual
LACY B BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2200 WABASH AVE, SPRINGFIELD, IL 62704-5352
(217) 528-7541
(217) 787-1377
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
(217) 528-8962
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209007677
IL
Other
Enumeration date
07/23/2009
Last updated
07/23/2009
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