Loretta Lynn Dahler, LPN

Individual provider Active NPI Licensed Practical Nurse · Rock Falls, IL

NPI 1891998290 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1891998290
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
43086648 (IL)
Practice address
715 Lincoln St
Rock Falls, IL 61071-1342
Phone
(815) 626-3275
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
43086648ILMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 43086648 IL Yes

Addresses

Primary practice location

715 Lincoln St
Rock Falls, IL 61071-1342

Mailing address

715 Lincoln St
Rock Falls, IL 61071-1342
Phone (815) 626-3275

Other providers in Rock Falls, IL

All providers in Rock Falls, IL · Licensed Practical Nurse in Illinois

Sources for this page

Verify at the official NPI Registry.