SHANNON R LANE

WASHINGTON, IL
NPI1316477326
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.016035)
Enumeration Date2017-06-13
Last Update Date2017-06-13
Business Address
SHANNON R LANE FNP-C
1960 FREEDOM PKWY
WASHINGTON, IL 61571-9468
Phone number: 309-745-7425
Mailing Address
SHANNON R LANE FNP-C
113 W FRANKLIN ST
MC LEAN, IL 61754-9624
Phone number: 309-287-5555
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