Individual provider · Type 1 NPI

Lakimiyion Waller

Licensed Practical Nurse · Oak Forest, IL

NPI number 1104568948 Active

Practice location

15737 Terrace Dr Apt 1BL
Oak Forest, IL 60452-5190

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X043112709 (IL)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1104568948

Lakimiyion Waller's National Provider Identifier is 1104568948, issued on Apr 12, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Oak Forest, IL. The record was last updated on Apr 12, 2022.