Illissa Jasmine Lancaster
Illissa Jasmine Lancaster is a Student in an Organized Health Care Education/Training Program in Maywood, Illinois. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
2160 S 1st AveMaywood, IL 60153-3328
Phone: (608) 320-7248
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1114759776 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 14, 2024 |
| Last updated in NPPES | August 14, 2024 |
| Certification date | August 14, 2024 |
| Mailing address | 2160 S 1st Ave, Maywood, IL 60153-3328 |
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