Individual
SONIA LANIER EICHSTAEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5584 TASSELBURY CLOSE, ROCKFORD, IL 61114-4983
(815) 282-0685
Mailing address
5584 TASSELBURY CLOSE, ROCKFORD, IL 61114-4983
(815) 282-0685
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041421191
IL
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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