Individual provider · Type 1 NPI

Laurie Marie Jeans

Specialist · Bloomington, IL

NPI number 1144492257 Active

Practice location

2404 E Empire St
Bloomington, IL 61704-3630

Call (309) 663-8275 Map

Fax (309) 662-7872

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1144492257

Laurie Marie Jeans's National Provider Identifier is 1144492257, issued on Mar 28, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bloomington, IL. The record was last updated on Mar 28, 2008.