Laurel a Walton DO SC
Laurel a Walton DO SC is an Obstetrics & Gynecology Physician in Decatur, Illinois. Licensed in Illinois. Registered with an NPI since 2011.
- Licensed in
- IL
- In the registry since
- 2011
Practice location Address checks out
1770 E Lake Shore Dr Ste 309Decatur, IL 62521-3832
Phone: (217) 422-9740
Fax: (217) 422-7813
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Specialties & licences
| Obstetrics & Gynecology Physician (primary) | Taxonomy 207V00000X · Licence 036082675 (IL) |
|---|
Record details
| NPI number | 1063797108 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Laurel Walton — Owner · (217) 422-9740 |
| NPI enumerated | October 20, 2011 |
| Last updated in NPPES | July 23, 2012 |
| Mailing address | 1770 E Lake Shore Dr, Ste 309, Decatur, IL 62521-3832 |
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