| Doctor Name: | MRS. LONNI R WEIS |
| NPI Number: | 1134139488 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OTR/L |
| License Number: | |
| Business Practice Address: | 901 Medical Park Dr Suite 100 Effingham, IL - 624012191 |
| Business Phone Number: | 2173473003 |
| Business Fax Number: | 2173473005 |
| Mailing Address: | 901 Medical Park Dr, Suite 100 EFFINGHAM |
| State: | IL |
| Postal Code: | 624012191 |
| Phone Number: | 2173473003 |
| Fax Number: | 2173473005 |
| NPI Enumeration Date: | 08/09/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XH1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Hand |
| Taxonomy Definition: | |