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Lisa Ann Patel
Family Nurse Practitioner in Peoria, Illinois
NPI 1588251144

Lisa Ann Patel is a Family Nurse Practitioner based in Peoria, IL and is specialized in Family. Lisa Ann Patel practices in Peoria, IL. The NPI Number for Lisa Ann Patel is 1588251144 and holds a License No. 209.021062 (Illinois).

The current practice location address for Lisa Ann Patel is 530 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-655-2000.

Location: 530 Ne Glen Oak Ave, Peoria, IL, 61615-8932
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588251144
Provider Name
Lisa Ann Patel
Credential
Provider Entity Type
Individual
Gender
Female
Address
530 Ne Glen Oak Ave, Peoria, IL, 61615-8932
Phone Number
309-655-2000
Fax Number
Provider Enumeration Date
12/29/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637-0001
Phone Number
309-655-2000
Fax Number
person
Provider Business Mailing Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637-0001
Phone Number
309-655-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209.021062 (Illinois)
Definition
Definition to come...
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