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1174075147
LORALEE DONNELLY
SPRINGFIELD, IL
NPI
1174075147
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209.014926)
Enumeration Date
2016-10-26
Last Update Date
2024-07-29
Business Address
LORALEE DONNELLY FNP-BC
747 N RUTLEDGE ST FL 5
SPRINGFIELD, IL 62702-6700
Phone number: 217-545-8000
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Mailing Address
LORALEE DONNELLY FNP-BC
PO BOX 19665
SPRINGFIELD, IL 62794-9665
Phone number: 217-545-8000
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