Most Relevant Information
Provider Data
| NPI Number: | 1003045360 |
| Provider Name: | MICKIE LYNNE DOLLINS LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 043063936 |
Most Important Dates
| Enumeration Date: | 07/08/2009 |
| Last Updated: | 07/08/2009 |
Provider Practice Location
4241 HWY 14
CHRISTOPHER
IL
62822
Practice Location Phone/Fax
| Phone: | 6187242436 |
| Fax: |
Provider Mailing Location
PO BOX 155
CHRISTOPHER
IL
628220155
Provider Mailing Phone/Fax
| Phone: | 6187242436 |
| Fax: |