Lakeisha Ann Longino

NPI #1861269292 in Matteson, Illinois

Provider Information

NPI Number
1861269292
Entity Type
Individual
Name
Lakeisha Ann Longino
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Religious Nonmedical Practitioner
Enumeration Date
Dec 6, 2023
Last Updated
Dec 6, 2023

Practice Location

Address
103 HUNTINGWOOD RD
ZIP Code
60443-1134
Phone
(312) 498-4551

Specialties & Taxonomy Codes

Specialty
Religious Nonmedical Practitioner

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