SearchIllinois103TS0200X

Lisa Goggins

NPI 1659881027 · on the registry since 2017 · sole proprietor

Practice

Address
333 E 142nd St
Dolton, IL 60419
Phone
(708) 849-9848

Registry record

Primary taxonomy
103TS0200X
103TS0200X
Sex
Female
Record last updated
2017-10-11

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