Sara Lee Fordham

NPI #1871141465 in Dixon, Illinois

Provider Information

NPI Number
1871141465
Entity Type
Individual
Name
Sara Lee Fordham
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Aug 28, 2019
Last Updated
Aug 28, 2019

Practice Location

Address
403 E 1ST ST
City
Dixon
ZIP Code
61021-3116
Phone
(815) 288-5531

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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