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1205824059
LANIE E EAGLETON
SPRINGFIELD, IL
NPI
1205824059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: IL 036052906)
Enumeration Date
2005-10-06
Last Update Date
2010-07-22
Business Address
-- LANIE E EAGLETON M.D.
751 N RUTLEDGE ST RM 0300
SPRINGFIELD, IL 62702-4909
Phone number: 217-545-5864
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Mailing Address
-- LANIE E EAGLETON M.D.
PO BOX 19636
SPRINGFIELD, IL 62794-9636
Phone number: 217-545-0187
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