Individual
MR. RAYMOND LAWRENCE HOWARD SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3001 6TH ST STE A, GREAT LAKES, IL 60088-2833
(847) 688-6755
Mailing address
1101 BARBERRY LN, ROUND LAKE BEACH, IL 60073-2312
(224) 757-5186
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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