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Lori Farris
Family Nurse Practitioner in Peoria, Illinois
NPI 1699262550

Lori Farris is a Family Nurse Practitioner based in Peoria, IL and is specialized in Family. Lori Farris practices in Peoria, IL. The NPI Number for Lori Farris is 1699262550 and holds a License No. 209017458 (Illinois).

The current practice location address for Lori Farris is 900 Main St Ste 100, Peoria, IL and can be reached out via phone at 309-671-7772.

Location: 900 Main St Ste 100, Peoria, IL, 61602-5003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699262550
Provider Name
Lori Farris
Credential
Provider Entity Type
Individual
Gender
Female
Address
900 Main St Ste 100, Peoria, IL, 61602-5003
Phone Number
309-671-7772
Fax Number
Provider Enumeration Date
04/17/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209017458 01 IL LICENSE
institution
Provider Business Practice Location Address Details
Address
900 Main St Ste 100
City
Peoria
State
Illinois
Zip
61602-5003
Phone Number
309-671-7772
Fax Number
person
Provider Business Mailing Address Details
Address
900 Main St Ste 100
City
Peoria
State
Illinois
Zip
61602-5003
Phone Number
309-671-7772
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209017458 (Illinois)
Definition
Definition to come...
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