SearchIllinois374K00000X

Lakeisha Longino

NPI 1861269292 · on the registry since 2023 · sole proprietor

Practice

Address
103 Huntingwood Rd
Matteson, IL 60443
Phone
(312) 498-4551

Registry record

Primary taxonomy
374K00000X
374K00000X
Sex
Female
Record last updated
2023-12-06

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