Individual
LYNN MARIE DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
604 N UNION ST STE 2, LINCOLN, IL 62656-1578
(217) 732-9276
(217) 732-9276
Mailing address
604 N UNION ST STE 2, LINCOLN, IL 62656-1578
(217) 732-9276
(217) 732-9276
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004829
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
016004829
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8422156
BC BS
IL
Enumeration date
03/27/2006
Last updated
07/24/2016
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