Search › Illinois › 101YP2500X
Latasha Lyons
NPI 1639790264 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1004 Mulligan Dr
Mount Vernon, IL 62864 - Phone
- (708) 238-1876
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-05-05
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