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Lea Ann Golick

Registered Nurse in Bloomington, IL. Individual provider (NPI-1).

NPI number1023385341
StatusActive
Last updated in NPPESMar 17, 2014

Details

NPI
1023385341
Entity type
Individual (NPI-1)
Name
Lea Ann Golick
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 1, 2011
Last updated
Mar 17, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse041393447ILYes

Practice location

108 W Market St
Bloomington, IL 61701-3918

Phone 309-827-5351 · Fax 309-829-6808

Mailing address

108 W Market St
Bloomington, IL 61701-3918

Phone 309-827-5351

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