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1073842878
LISA M PIERCE
PEORIA, IL
NPI
1073842878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0222X Nurse Practitioner, Pediatrics, Critical Care
(Licence: IL 209.007927)
Enumeration Date
2009-12-08
Last Update Date
2009-12-08
Business Address
-- LISA M PIERCE CPNP-AC
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2600
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Mailing Address
-- LISA M PIERCE CPNP-AC
112 N 6TH ST
DUNLAP, IL 61525-8004
Phone number: 309-243-2202
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