SearchIllinois222Q00000X

Latisha Lewis, M.A.T

NPI 1013297431 · on the registry since 2011 · sole proprietor

Practice

Address
1948 Richmond Springs Ln
Belleville, IL 62220
Phone
(618) 402-4319
Fax
(618) 825-0210

Registry record

Primary taxonomy
222Q00000X
222Q00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-08-17

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