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1164719738
LISA B LYELL
MARION, IL
NPI
1164719738
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL 209-008558)
Enumeration Date
2011-07-05
Last Update Date
2012-04-06
Business Address
Ms. LISA B LYELL APN
2401 W MAIN ST
MARION, IL 62959-1188
Phone number: 618-997-5311
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Mailing Address
Ms. LISA B LYELL APN
2401 W MAIN ST
MARION, IL 62959-1188
Phone number: 618-997-5311
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