MEREDITH VIOLET LAGOUROS

PEORIA, IL
NPI1104137801
Former NameMEREDITH VIOLET
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036.136776)
Enumeration Date2010-06-28
Last Update Date2015-08-07
Business Address
-- MEREDITH VIOLET LAGOUROS DO
9010 N ALLEN RD
PEORIA, IL 61615-1573
Phone number: 309-495-8500
Mailing Address
-- MEREDITH VIOLET LAGOUROS DO
9010 N ALLEN RD NONE
PEORIA, IL 61615-1573
Phone number: 309-495-8500
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