person
Sara Lee Fordham
Family Nurse Practitioner in Dixon, Illinois
NPI 1871141465

Sara Lee Fordham is a Family Nurse Practitioner based in Dixon, IL and is specialized in Family. Sara Lee Fordham practices in Dixon, IL. The NPI Number for Sara Lee Fordham is 1871141465 and holds a License No. 209019936 (Illinois).

The current practice location address for Sara Lee Fordham is 403 E 1St St, Dixon, IL and can be reached out via phone at 815-288-5531.

Location: 403 E 1St St, Dixon, IL, 61021-3116
person
Provider Profile Details
NPI Number
1871141465
Provider Name
Sara Lee Fordham
Credential
Provider Entity Type
Individual
Gender
Female
Address
403 E 1St St, Dixon, IL, 61021-3116
Phone Number
815-288-5531
Fax Number
Provider Enumeration Date
08/28/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
403 E 1St St
City
State
Zip
61021-3116
Phone Number
815-288-5531
Fax Number
person
Provider Business Mailing Address Details
Address
403 E 1St St
City
State
Zip
61021-3116
Phone Number
815-288-5531
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209019936 (Illinois)
Definition
Definition to come...
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