Individual
LAKIRA LOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4539 N HOWARD ST, PHILADELPHIA, PA 19140-1610
(215) 475-1094
Mailing address
4539 N HOWARD ST, PHILADELPHIA, PA 19140-1610
(215) 475-1094
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
TGPN029011
PA
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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