Individual
SUSAN LOBRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
701 N 1ST ST, DEPARTMENT OF EMERGENCY MEDICINE, SPRINGFIELD, IL 62781-0001
(318) 572-2710
Mailing address
701 N 1ST ST, DEPARTMENT OF EMERGENCY MEDICINE, SPRINGFIELD, IL 62781-0001
(318) 572-2710
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.140867
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2010
Last updated
10/10/2016
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