SearchIllinois103TS0200X

Lacey Remington, SSP

NPI 1700297884 · on the registry since 2014

Practice

Address
145 Jamestown Rd
Macomb, IL 61455
Phone
(309) 313-1289

Registry record

Primary taxonomy
103TS0200X
103TS0200X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-05-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois