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Lane Aldous Kadlec
Student in an Organized Health Care Education/Training Program in Lockport, Illinois
NPI 1033685979

Lane Aldous Kadlec is a Student in an Organized Health Care Education/Training Program based in Lockport, IL. Lane Aldous Kadlec practices in Lockport, IL. The NPI Number for Lane Aldous Kadlec is 1033685979 and holds a License No. (Illinois).

The current practice location address for Lane Aldous Kadlec is 16724 W Seneca Dr, Lockport, IL and can be reached out via phone at 779-875-1179.

Location: 16724 W Seneca Dr, Lockport, IL, 60441-4272
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033685979
Provider Name
Lane Aldous Kadlec
Credential
Provider Entity Type
Individual
Gender
Female
Address
16724 W Seneca Dr, Lockport, IL, 60441-4272
Phone Number
779-875-1179
Fax Number
Provider Enumeration Date
10/18/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NONE 01 IL ATHLETIC TRAINER
institution
Provider Business Practice Location Address Details
Address
16724 W Seneca Dr
City
Lockport
State
Illinois
Zip
60441-4272
Phone Number
779-875-1179
Fax Number
person
Provider Business Mailing Address Details
Address
16724 W Seneca Dr
City
Lockport
State
Illinois
Zip
60441-4272
Phone Number
779-875-1179
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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