Individual
MRS. LISA MICHELLE MCINTOSH-LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
3320 EXECUTIVE DR, JOLIET, IL 60431-8433
(815) 730-1370
(815) 730-1517
Mailing address
3320 EXECUTIVE DR, JOLIET, IL 60431-8433
(815) 730-1370
(815) 730-1517
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
070008898
IL
Other
Enumeration date
08/19/2009
Last updated
08/19/2009
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