NPI 1679952956

Nicole Lynn Duvall, LMTNCBTMB

Practitioner Homeopath Freeport, IL

Practice location

Address: 640 W South St, Freeport, IL 61032-6838
Phone: (815) 235-2301

Registered specialties

Homeopath Primary

Other Service Providers Taxonomy 175L00000X Licence 227.011956 (IL)

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Registry record

NPI: 1679952956
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 May 2015
Record last updated: 7 May 2020

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.