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1053739201
LORIE SPORRER
SPRINGFIELD, IL
NPI
1053739201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209-011323)
Enumeration Date
2014-04-04
Last Update Date
2014-04-22
Business Address
-- LORIE SPORRER FNP-BC
415 N 9TH ST SUITE 6W100
SPRINGFIELD, IL 62702-5303
Phone number: 217-545-8000
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Mailing Address
-- LORIE SPORRER FNP-BC
PO BOX 19640
SPRINGFIELD, IL 62794-9640
Phone number: 217-545-8000
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