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TAMI LASALA, NP

NP

Nurse Practitioner

NPI: 1619303542IndividualAccepts Medicare

Specialties, Licenses & Credentials

Registered Nurse

Registered Nurse

Code: 163W00000X

041306876(IL)
Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

5512-33(WI)209012349(IL)
Acute Care Nurse Practitioner

Nurse Practitioner — Acute Care

Code: 363LA2100X

5512-33(WI)

CMS Specialties

Education

OTHER

Class of 2013

Contact & Hours

Address
1045 W STEPHENSON ST
FREEPORT, IL 61032

Quick Facts

NPI
1619303542
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
4
Locations
1
Years in Practice
13

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