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Individual

LISA MCKAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8064
Mailing address
37 BURNETT AVE, LAKE VILLA, IL 60046-8670

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
041375275
IL

Other

Enumeration date
03/07/2025
Last updated
03/07/2025
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