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Samantha Lullo
Student in an Organized Health Care Education/Training Program in Waukegan, Illinois
NPI 1215485727

Samantha Lullo is a Student in an Organized Health Care Education/Training Program based in Waukegan, IL. Samantha Lullo practices in Waukegan, IL. The NPI Number for Samantha Lullo is 1215485727 and holds a License No. (Illinois).

The current practice location address for Samantha Lullo is 2025 Washington St, Waukegan, IL and can be reached out via phone at 847-360-1020.

Location: 2025 Washington St, Waukegan, IL, 60085-5131
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215485727
Provider Name
Samantha Lullo
Credential
Provider Entity Type
Individual
Gender
Female
Address
2025 Washington St, Waukegan, IL, 60085-5131
Phone Number
847-360-1020
Fax Number
Provider Enumeration Date
09/13/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2025 Washington St
City
Waukegan
State
Illinois
Zip
60085-5131
Phone Number
847-360-1020
Fax Number
person
Provider Business Mailing Address Details
Address
2025 Washington St
City
Waukegan
State
Illinois
Zip
60085-5131
Phone Number
847-360-1020
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.
()
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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