Individual
MS. CAROL LAKUMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHSCCCSLP
Contact information
Practice address
346 ALANA DR, NEW LENOX, IL 60451-1784
(815) 462-0514
(815) 462-3993
Mailing address
13929 S GOLDEN OAK DR, HOMER GLEN, IL 60491-8622
(708) 301-4445
(708) 301-4445
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12045654
ASHA
—
01
—
9932126
BCBS
IL
Enumeration date
02/13/2007
Last updated
07/08/2007
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