Search › Illinois › 225700000X
Lola Herndon
NPI 1497354104 · on the registry since 2020 · sole proprietor
Practice
- Address
- 844 Wilshire Dr
Belleville, IL 62223 - Phone
- (314) 380-4202
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-11-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois