Doctor Name: | MRS. LYNN CAROL PHILLIPPE |
NPI Number: | 1477535490 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 209001141 |
Business Practice Address: | 1001 N Market St Mount Carmel, IL - 628631945 |
Business Phone Number: | 6182634970 |
Business Fax Number: | 6182634837 |
Mailing Address: | 11563 E 1150th Ave, ROBINSON |
State: | IL |
Postal Code: | 624544352 |
Phone Number: | 6185445405 |
Fax Number: | |
NPI Enumeration Date: | 11/16/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 209001141 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |