Lakimiyion Waller, is a
Licensed Practical Nurse based in Oak Forest, Illinois. Lakimiyion Waller is licensed to practice in Illinois (license number 043112709) and her current practice location is
15737 Terrace Dr Apt 1bl, Oak Forest, Illinois. She can be reached at her office (for appointments etc.) via phone at
(773) 308-4653.
NPI number for Lakimiyion Waller is 1104568948 and her current mailing address is 15737 Terrace Dr Apt 1bl, Oak Forest, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104568948.
Provider's Profile
Full Name | Lakimiyion Waller |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 15737 Terrace Dr Apt 1bl, Oak Forest, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104568948
- Provider Enumeration Date: 04/12/2022
- Last Update Date: 04/12/2022
Medical Identifiers
Medical identifiers for Lakimiyion Waller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104568948 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 043112709 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lakimiyion Waller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lakimiyion Waller, 15737 Terrace Dr Apt 1bl, Oak Forest, IL 60452-5190 Ph: (773) 308-4653 | Lakimiyion Waller, 15737 Terrace Dr Apt 1bl, Oak Forest, IL 60452-5190 Ph: (773) 308-4653 |
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