Lewis Memorial Christian Village
NPI #1154638021 in Springfield, Illinois
Provider Information
- NPI Number
- 1154638021
- Entity Type
- Organization
- Organization Name
- Lewis Memorial Christian Village
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Sep 13, 2010
- Last Updated
- Sep 13, 2010
Practice Location
- Address
- 3400 W WASHINGTON ST
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62711-7917
- Phone
- (217) 787-9600
Authorized Official
- Name
- LAVERNE BROOMFIELD
- Title
- COTA
- Phone
- (217) 787-9600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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