Provider Demographics
NPI:1265186100
Name:CURL, LYNDA SUE (LPN)
Entity type:Individual
Prefix:
First Name:LYNDA
Middle Name:SUE
Last Name:CURL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MRS
Other - First Name:LYNDA
Other - Middle Name:SUE
Other - Last Name:BUSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:106 S COUNTRY FAIR DR STE C
Mailing Address - Street 2:
Mailing Address - City:CHAMPAIGN
Mailing Address - State:IL
Mailing Address - Zip Code:61821-3064
Mailing Address - Country:US
Mailing Address - Phone:217-373-8200
Mailing Address - Fax:217-373-5233
Practice Address - Street 1:106 S COUNTRY FAIR DR STE C
Practice Address - Street 2:
Practice Address - City:CHAMPAIGN
Practice Address - State:IL
Practice Address - Zip Code:61821-3064
Practice Address - Country:US
Practice Address - Phone:217-373-8200
Practice Address - Fax:217-373-5233
Is Sole Proprietor?:No
Enumeration Date:2022-02-09
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL043080238164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse