Individual
MS. LORI LYNN THOMPSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSN, APN, CPNP
Contact information
Practice address
826 N MAIN ST, ROCKFORD, IL 61103-6906
(815) 987-3169
Mailing address
6225 PARK RIDGE RD, LOVES PARK, IL 61111-4070
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
—
IL
Other
Enumeration date
12/22/2005
Last updated
07/08/2007
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