SearchIllinois171W00000X

Lavenita Martin

NPI 1467898874 · on the registry since 2013 · sole proprietor

Practice

Address
432 Hoxie Ave
Calumet City, IL 60409
Phone
(708) 674-3113

Registry record

Primary taxonomy
171W00000X
171W00000X
Sex
Female
Record last updated
2013-05-13

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