Search › Illinois › 364SA2200X
Lissa Diefendorf, APN
NPI 1427356336 · on the registry since 2011 · sole proprietor
Practice
- Address
- 403 W Corrington Ave
Peoria, IL 61604 - Phone
- (309) 222-5736
Registry record
- Primary taxonomy
- 364SA2200X
364SA2200X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-03-02
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