Individual
LANA BRANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2205 E EMPIRE ST STE D, BLOOMINGTON, IL 61704-3709
(309) 838-4179
(309) 808-4936
Mailing address
2205 E EMPIRE ST STE D, BLOOMINGTON, IL 61704-3709
(309) 838-4179
(309) 808-4936
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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