Laurel a Walton Do Sc

NPI #1063797108 in Decatur, Illinois

Provider Information

NPI Number: 1063797108
Entity Type: Organization
Organization Name: Laurel a Walton Do Sc
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Oct 20, 2011
Last Updated: Jul 23, 2012

Practice Location

Address: 1770 E LAKE SHORE DR
Address 2: STE 309
City: Decatur
State: Illinois
ZIP Code: 62521-3832
Phone: (217) 422-9740

Authorized Official

Name: LAUREL A WALTON, DO
Title: OWNER
Phone: (217) 422-9740

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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