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1417068131
LYN TANGEN
URBANA, IL
NPI
1417068131
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208C00000X Colon & Rectal Surgery
(Licence: IL 036073498)
Enumeration Date
2006-08-31
Last Update Date
2014-05-21
Business Address
-- LYN TANGEN M.D.
611 W. PARK ST. COLON & RECTAL SURGERY
URBANA, IL 61801-2500
Phone number: 217-383-3080
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Mailing Address
-- LYN TANGEN M.D.
611 W. PARK ST. BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6792
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