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1255563995
HEATHER D LANSAW
SPRINGFIELD, IL
NPI
1255563995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209007665)
Enumeration Date
2009-08-13
Last Update Date
2013-06-05
Business Address
-- HEATHER D LANSAW FNP
701 N 1ST ST MAILBOX 95
SPRINGFIELD, IL 62781-0001
Phone number: 217-243-0300
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Mailing Address
-- HEATHER D LANSAW FNP
PO BOX 3428
SPRINGFIELD, IL 62708-3428
Phone number: 800-577-5368
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