Individual provider · Type 1 NPI
Porshia Lenee' Egerson, LMT
Student in an Organized Health Care Education/Training Program · Centreville, IL
NPI number
1063708345
Active
Practice location
6032 Clarita Ave
Centreville, IL 62207-1019
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1063708345
Porshia Lenee' Egerson, LMT's National Provider Identifier is 1063708345, issued on Jun 24, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Centreville, IL. The record was last updated on Jun 24, 2011.