MS. LANISHA BLOCKMON

Contractor

Active Individual
NPI: 1710482542

Practice Address

8214 S EVANS AVE
Chicago, IL 60619

Phone: (773) 853-6694

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes -

Frequently Asked Questions

NPI 1710482542 is the National Provider Identifier for MS. LANISHA BLOCKMON, a Contractor provider located in Chicago, IL. This NPI was enumerated on March 25, 2018.
MS. LANISHA BLOCKMON practices at 8214 S EVANS AVE, Chicago, IL 60619.

Quick Facts

NPI
1710482542
Type
Individual
Enumerated
Mar 25, 2018
Last Updated
Nov 13, 2023

Nearby Providers