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Lakeisha Ann Longino
Religious Nonmedical Practitioner in Matteson, Illinois
NPI 1861269292

Lakeisha Ann Longino is a Religious Nonmedical Practitioner based in Matteson, IL. Lakeisha Ann Longino practices in Matteson, IL. The NPI Number for Lakeisha Ann Longino is 1861269292 and holds a License No. (Illinois).

The current practice location address for Lakeisha Ann Longino is 103 Huntingwood Rd, Matteson, IL and can be reached out via phone at 312-498-4551.

Location: 103 Huntingwood Rd, Matteson, IL, 60443-1134
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861269292
Provider Name
Lakeisha Ann Longino
Credential
Provider Entity Type
Individual
Gender
Female
Address
103 Huntingwood Rd, Matteson, IL, 60443-1134
Phone Number
312-498-4551
Fax Number
Provider Enumeration Date
12/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
103 Huntingwood Rd
City
Matteson
State
Illinois
Zip
60443-1134
Phone Number
312-498-4551
Fax Number
person
Provider Business Mailing Address Details
Address
103 Huntingwood Rd
City
Matteson
State
Illinois
Zip
60443-1134
Phone Number
312-498-4551
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Religious Nonmedical Practitioner
Speciality
-
Taxonomy
374K00000X
License No.
()
Definition
A religious nonmedical practitioner offers spiritually-based care. Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence.
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