LORI D RACSA

PEORIA TAZEWELL PATHOLOGY GROUP, S.C.

Dr LORI D RACSA is a female medical professional, specializing in Pathology. She graduated in 2010 from University Of North Texas Health Science Center At Fort Worth.

Contact

PEORIA TAZEWELL PATHOLOGY GROUP, S.C.

221 NEGLEN OAK AVE
PEORIA
IL
616364310

Tel: 3096724919

LORI D RACSA Information

Npi 1689993883
Pac Id 8628383684
Professional Enrollment Id I20150819009094
Last Name RACSA
First Name LORI
Middle Name D
Suffix
Gender F
Credential
Medical School Name UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH
Graduation Year 2010
Primary Specialty PATHOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PEORIA TAZEWELL PATHOLOGY GROUP, S.C.
Group Practice Pac Id 1254228711
Number Of Group Practice Members 19
Line 1 Street Address 221 NEGLEN OAK AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PEORIA
State IL
Zip Code 616364310
Phone Number 3096724919
Hospital Affiliation Ccn 1 140209
Hospital Affiliation Lbn 1 METHODIST MEDICAL CENTER OF ILLINOIS
Hospital Affiliation Ccn 2 140013
Hospital Affiliation Lbn 2 PROCTOR HOSPITAL
Hospital Affiliation Ccn 3 140280
Hospital Affiliation Lbn 3 TRINITY - ROCK ISLAND
Hospital Affiliation Ccn 4 160013
Hospital Affiliation Lbn 4 TRINITY MUSCATINE
Hospital Affiliation Ccn 5 160104
Hospital Affiliation Lbn 5 TRINITY - BETTENDORF
Professional Accepts Medicare Assignment Y

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