Individual provider · Type 1 NPI

Lori Van Vooren

Medical Physician Assistant · Peoria, IL

NPI number 1720158678 Active

Practice location

7717 N Orange Prairie Rd, Bob Michel Community Outpatient Clinic, Vha
Peoria, IL 61615-9323

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1720158678

Lori Van Vooren's National Provider Identifier is 1720158678, issued on Nov 8, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Peoria, IL. The record was last updated on Oct 3, 2016.