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Search › Illinois › 103K00000X

Lavonda Larks

NPI 1356762371 · on the registry since 2013

Practice

Address
1748 E 84th Pl
Chicago, IL 60617
Phone
(312) 523-0728
Organisation at this address
Key To Hope
Key To Hope Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-12-17

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