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NPI Code Detail

MEDICARE: MRS. PAMELA SUE LAWYER LPN/MHP

MEDICARE:  MRS. PAMELA SUE LAWYER  LPN/MHP
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
1164W00000XLicensed Practical Nurse043123297IL

General Provider Information

NPI Number : 1881171064
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PAMELA SUE LAWYER LPN/MHP
Provider Business Mailing Address
First Line : 12 W HARRISON ST
Second Line :
City : SULLIVAN
State : IL
Zip : 61951-1907
Country : US
Telephone Number : 217-728-4358
Fax Number :
Provider Business Practice Location Address
First Line : 12 W HARRISON ST
Second Line :
City : SULLIVAN
State : IL
Zip : 61951-1907
Country : US
Telephone Number : 217-728-4358
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2018
Last Update Date : 07/20/2018

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Directions to “ MRS. PAMELA SUE LAWYER LPN/MHP” Practice Location

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