MS. Lynn Corrie Irvin, D.O.

NPI #1144460189 in Bloomington, Illinois

Provider Information

NPI Number: 1144460189
Entity Type: Individual
Name: MS. Lynn Corrie Irvin, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Credential: D.O.
Enumeration Date: Mar 4, 2009
Last Updated: Mar 4, 2009

Practice Location

Address: 1508 N LINDEN ST
City: Bloomington
State: Illinois
ZIP Code: 61701-1942
Phone: (309) 261-1509

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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