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1972552529
LANCE A KIRBY
LOCKPORT, IL
NPI
1972552529
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085000829)
Enumeration Date
2006-05-10
Last Update Date
2024-10-14
Business Address
Mr. LANCE A KIRBY PA-C
16525 W 159TH ST
LOCKPORT, IL 60441-7900
Phone number: 708-720-0148
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Mailing Address
Mr. LANCE A KIRBY PA-C
16525 W 159TH ST
LOCKPORT, IL 60441-7900
Phone number: 708-720-0148
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