Provider Demographics
NPI:1033519426
Name:SESSON, LACONDA (RN)
Entity Type:Individual
Prefix:
First Name:LACONDA
Middle Name:
Last Name:SESSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 THORNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH HOLLAND
Mailing Address - State:IL
Mailing Address - Zip Code:60473-3462
Mailing Address - Country:US
Mailing Address - Phone:708-715-5506
Mailing Address - Fax:
Practice Address - Street 1:520 THORNWOOD DR
Practice Address - Street 2:
Practice Address - City:SOUTH HOLLAND
Practice Address - State:IL
Practice Address - Zip Code:60473-3462
Practice Address - Country:US
Practice Address - Phone:708-420-6057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-04
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041.342253373H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist