Individual
LEA POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15010 S RAVINIA AVE STE 12, ORLAND PARK, IL 60462-5353
(708) 971-0470
Mailing address
15010 S RAVINIA AVE STE 12, ORLAND PARK, IL 60462-5353
(708) 971-0470
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
06/01/2025
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