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Lavada Rainier Simpson
Family Nurse Practitioner in Centralia, Illinois
NPI 1780452235

Lavada Rainier Simpson is a Family Nurse Practitioner based in Centralia, IL and is specialized in Family. Lavada Rainier Simpson practices in Centralia, IL. The NPI Number for Lavada Rainier Simpson is 1780452235 and holds a License No. 209028436041414056 (Illinois).

The current practice location address for Lavada Rainier Simpson is 1003 E Mccord St, Centralia, IL and can be reached out via phone at 618-436-6633.

Location: 1003 E Mccord St, Centralia, IL, 62801-3345
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780452235
Provider Name
Lavada Rainier Simpson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1003 E Mccord St, Centralia, IL, 62801-3345
Phone Number
618-436-6633
Fax Number
Provider Enumeration Date
12/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1003 E Mccord St
City
Centralia
State
Illinois
Zip
62801-3345
Phone Number
618-436-6633
Fax Number
person
Provider Business Mailing Address Details
Address
1003 E Mccord St
City
Centralia
State
Illinois
Zip
62801-3345
Phone Number
618-436-6633
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209028436041414056 (Illinois)
Definition
Definition to come...
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