TAMARRA LYNN SUBYANTORO

PEORIA, IL
NPI1942842018
Former NameTAMARRA LAMPRECHT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209019900)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: IL  209019900)
Enumeration Date2019-10-10
Last Update Date2024-09-27
Business Address
TAMARRA LYNN SUBYANTORO APN
5114 N GLEN PARK PLACE RD STE 110
PEORIA, IL 61614-4686
Phone number: 309-683-5600
Mailing Address
TAMARRA LYNN SUBYANTORO APN
5114 N GLEN PARK PLACE RD STE 110
PEORIA, IL 61614-4686
Phone number: 309-683-5600