Individual
LAKISHIA SHORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4830 NW 43RD ST APT K160, GAINESVILLE, FL 32606-4407
(601) 218-6392
Mailing address
4830 NW 43RD ST APT K160, GAINESVILLE, FL 32606-4407
(786) 837-4090
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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