Lincoln Trail Orthopaedic Clinic, S.c.

NPI #1366615668 in Mattoon, Illinois

Provider Information

NPI Number: 1366615668
Entity Type: Organization
Organization Name: Lincoln Trail Orthopaedic Clinic, S.c.
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Apr 8, 2008
Last Updated: Apr 8, 2008

Practice Location

Address: 103 PROFESSIONAL PLZ
City: Mattoon
State: Illinois
ZIP Code: 61938-9252
Phone: (217) 348-1030

Authorized Official

Name: MRS. JULEE LEE
Title: OFFICE MANAGER
Phone: (217) 348-1052

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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