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1912076233
LAWRENCE JEISY
DECATUR, IL
NPI
1912076233
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IL 036067063)
Enumeration Date
2006-11-08
Last Update Date
2007-07-09
Business Address
-- LAWRENCE JEISY M.D.
2300 N EDWARD ST
DECATUR, IL 62526-4163
Phone number: 217-876-3000
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Mailing Address
-- LAWRENCE JEISY M.D.
PO BOX 587
DECATUR, IL 62525-0587
Phone number: 800-815-3365
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