IndividualActive
Lakeisha Longino
NPI 1861269292 · Religious Nonmedical Practitioner · Matteson, IL
Provider details
- NPI number
- 1861269292
- Entity type
- Individual
- Primary specialty
- Religious Nonmedical PractitionerNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
103 Huntingwood Rd
Matteson, IL 60443-1134
Phone: (312) 498-4551
Approximate (ZIP-level) locationGet directions
Mailing address
103 Huntingwood Rd
Matteson, IL 60443-1134
Registry dates
- Enumerated
- 2023-12-06
- Last updated
- 2023-12-06
- Certified
- 2023-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.