Lisa Phillips
Pediatrics in Peoria, IL. Individual provider (NPI-1).
NPI number1720159577
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720159577
- Entity type
- Individual (NPI-1)
- Name
- Lisa Phillips
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 13, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 036-067749 | IL | Yes |
Practice location
320 E Armstrong AvePeoria, IL 61603-3172
Phone 309-624-9690 · Fax 309-624-9723
Mailing address
320 E Armstrong AvePeoria, IL 61603-3172
Phone 309-624-9690 · Fax 309-624-9723
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