Individual
ELISA LACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10449 DUTCH BARN ST, HUNTLEY, IL 60142-8115
(847) 456-6602
Mailing address
10449 DUTCH BARN ST, HUNTLEY, IL 60142-8115
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
04/03/2026
Last updated
04/03/2026
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