Individual
LASHANNA KIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
143 INDIANA ST, PARK FOREST, IL 60466-1078
(708) 238-7681
Mailing address
143 INDIANA ST, PARK FOREST, IL 60466-1078
(708) 238-7681
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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