Individual
LISA N BRAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4986 N MAJOR AVE # 1, CHICAGO, IL 60630-4605
(847) 749-8611
Mailing address
4986 N MAJOR AVE # 1, CHICAGO, IL 60630-4605
(847) 749-8611
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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