NPI 1215448352

Deatrice Lavonna Black, LPN

Practitioner Licensed Vocational Nurse Joliet, IL

Practice location

Address: 503 Bellarmine Dr E APT 7, Joliet, IL 60436-1838
Phone: (815) 456-9757

Registered specialties (2)

Licensed Vocational Nurse Primary

Nursing Service Providers Taxonomy 164X00000X Licence 043117036 (IL)

Other Licensed Vocational Nurse providers in Illinois →

Licensed Practical Nurse

Nursing Service Providers Taxonomy 164W00000X Licence 043117036 (IL)

Other Licensed Practical Nurse providers in Illinois →

Registry record

NPI: 1215448352
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Oct 2017
Record last updated: 16 Oct 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.