Individual
MS. LORIN GENE BRODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
145 S VIRGINIA ST, CRYSTAL LAKE, IL 60014-7226
(815) 444-4999
(815) 986-1363
Mailing address
145 S VIRGINIA ST, CRYSTAL LAKE, IL 60014-7226
(815) 444-4999
(815) 986-1363
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209015534
IL
363LF0000X
Family Nurse Practitioner
277001022
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277001022
IL
Other
Enumeration date
06/08/2017
Last updated
05/03/2024
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