NPI 1154464485

Loceean Laney, PAC

Practitioner Physician Assistant Decatur, IL

Practice location

Address: 2120 N 27th St, Decatur, IL 62526-2191
Phone: (217) 876-4041
Fax: (217) 423-6486
Mailing address: 2300 N Edward St Gsbll, Decatur, IL 62526-4163

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1154464485
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.