MEDICARE: LENORA DREES F.N.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	209000699	IL
2	363L00000X	Nurse Practitioner	209000699	IL

General Provider Information

NPI Number	:	1831174432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LENORA DREES F.N.P.

Provider Business Mailing Address
First Line	:	1207 NETWORK CENTRE DR STE 3
Second Line	:
City	:	EFFINGHAM
State	:	IL
Zip	:	62401-4632
Country	:	US
Telephone Number	:	217-347-2707
Fax Number	:	217-347-2827

Provider Business Practice Location Address
First Line	:	601 W WASHINGTON ST STE 1
Second Line	:
City	:	NEWTON
State	:	IL
Zip	:	62448-1249
Country	:	US
Telephone Number	:	618-783-0954
Fax Number	:	618-783-0958

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2005
Last Update Date	:	01/23/2020

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Directions to “ LENORA DREES F.N.P.” Practice Location

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