Lakeisha Ann Longino
Lakeisha Ann Longino is a Religious Nonmedical Practitioner in Matteson, Illinois. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
103 Huntingwood RdMatteson, IL 60443-1134
Phone: (312) 498-4551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Religious Nonmedical Practitioner (primary) | Taxonomy 374K00000X |
|---|
Record details
| NPI number | 1861269292 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 6, 2023 |
| Last updated in NPPES | December 6, 2023 |
| Certification date | December 6, 2023 |