NPI Profile for MACKENZIE LEMONS in SPRINGFIELD, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Neonatal |
363LN0000X | 50 | Nurse Practitioner | |
Neonatal Intensive Care |
163WN0002X |
| NPI # | 1689428294 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/11/2024 | |
| Last updated | 08/14/2024 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MACKENZIE LEMONS
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