Individual provider · Type 1 NPI
Lakeisha Ann Longino
Religious Nonmedical Practitioner · Matteson, IL
NPI number
1861269292
Active
Practice location
103 Huntingwood Rd
Matteson, IL 60443-1134
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Religious Nonmedical Practitioner Primary | 374K00000X | None listed |
Religious Nonmedical Practitioner: A religious nonmedical practitioner offers spiritually-based care. Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence.
About NPI 1861269292
Lakeisha Ann Longino's National Provider Identifier is 1861269292, issued on Dec 6, 2023. The primary taxonomy on file is Religious Nonmedical Practitioner (374K00000X), and the practice location is in Matteson, IL. The record was last updated on Dec 6, 2023.