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1053847509
LACI WATSON
SPRINGFIELD, IL
NPI
1053847509
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209.015954)
Enumeration Date
2017-05-03
Last Update Date
2018-03-17
Business Address
LACI WATSON NP
2239 E COOK ST
SPRINGFIELD, IL 62703-1944
Phone number: 217-788-2300
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Mailing Address
LACI WATSON NP
475 MURRAY HILL AVE
TOVEY, IL 62570-4477
Phone number:
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