LORI R JACKSON

CHAMPAIGN, IL
NPI1154533271
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036119598)
Enumeration Date2007-05-03
Last Update Date2017-12-21
Business Address
LORI R JACKSON MD
1701 CURTIS RD
CHAMPAIGN, IL 61822-9678
Phone number: 217-365-6201
Mailing Address
LORI R JACKSON MD
611 W. PARK ST. BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6941
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