NPI 1861269292

Lakeisha Ann Longino

Practitioner Religious Nonmedical Practitioner Matteson, IL

Practice location

Address: 103 Huntingwood Rd, Matteson, IL 60443-1134
Phone: (312) 498-4551

Registered specialties

Religious Nonmedical Practitioner Primary

Nursing Service Related Providers Taxonomy 374K00000X

Other Religious Nonmedical Practitioner providers in Illinois →

Registry record

NPI: 1861269292
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Dec 2023
Record last updated: 6 Dec 2023

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.