LORI L PEGRAM

BLOOMINGTON, IL
NPI1215947171
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  036072679)
Enumeration Date2006-08-09
Last Update Date2014-04-22
Business Address
-- LORI L PEGRAM MD
302 SAINT JOSEPH DR
BLOOMINGTON, IL 61701-3506
Phone number: 309-664-3100
Mailing Address
-- LORI L PEGRAM MD
302 SAINT JOSEPH DR
BLOOMINGTON, IL 61701-3506
Phone number: 309-664-3100
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