Individual provider · Type 1 NPI

Latarika L. Dorris, LPN

Licensed Practical Nurse · Champaign, IL

NPI number 1457092082 Active

Practice location

106 S Country Fair Dr Ste C
Champaign, IL 61821-3064

Fax (217) 373-5233

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X043.11560 (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 1457092082

Latarika L. Dorris, LPN's National Provider Identifier is 1457092082, issued on Apr 6, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Champaign, IL. The record was last updated on Apr 6, 2022.