LYDIA VANNATTA

ROCK ISLAND, IL
NPI1801277850
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: IA  078202)
Enumeration Date2015-06-16
Last Update Date2023-01-24
Business Address
LYDIA VANNATTA PA-C
2701 17TH ST
ROCK ISLAND, IL 61201-5351
Phone number: 309-779-5000
Mailing Address
LYDIA VANNATTA PA-C
2701 17TH ST
ROCK ISLAND, IL 61201-5351
Phone number:
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