LUCY NELSON WISDOM

BLOOMINGTON, IL
NPI1669510400
Former NameLUCY A NELSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: IL  036110740)
Enumeration Date2007-02-02
Last Update Date2007-07-08
Business Address
Mrs. LUCY NELSON WISDOM MD
1404 EASTLAND DRIVE SUITE 204
BLOOMINGTON, IL 61701
Phone number: 309-662-8813
Mailing Address
Mrs. LUCY NELSON WISDOM MD
1404 EASTLAND DRIVE SUITE 204
BLOOMINGTON, IL 61701
Phone number: 309-662-8813
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