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Melonica Luanne Lacsamana Kozil
Student in an Organized Health Care Education/Training Program in Edwardsville, Illinois
NPI 1861276800

Melonica Luanne Lacsamana Kozil is a Student in an Organized Health Care Education/Training Program based in Edwardsville, IL. Melonica Luanne Lacsamana Kozil practices in Edwardsville, IL. The NPI Number for Melonica Luanne Lacsamana Kozil is 1861276800 and holds a License No. (Illinois).

The current practice location address for Melonica Luanne Lacsamana Kozil is 2101 Stanford Pl, Edwardsville, IL and can be reached out via phone at 847-373-4540.

Location: 2101 Stanford Pl, Edwardsville, IL, 62025-8001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861276800
Provider Name
Melonica Luanne Lacsamana Kozil
Credential
Provider Entity Type
Individual
Gender
Female
Address
2101 Stanford Pl, Edwardsville, IL, 62025-8001
Phone Number
847-373-4540
Fax Number
Provider Enumeration Date
08/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2101 Stanford Pl
City
Edwardsville
State
Illinois
Zip
62025-8001
Phone Number
847-373-4540
Fax Number
person
Provider Business Mailing Address Details
Address
2101 Stanford Pl
City
Edwardsville
State
Illinois
Zip
62025-8001
Phone Number
847-373-4540
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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