Individual
LAKISHA CAROTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
525 N SAM HOUSTON PKWY E STE 360E, HOUSTON, TX 77060-4030
(832) 229-3965
Mailing address
18734 MONTERO LN, NEW CANEY, TX 77357-1770
(832) 229-3965
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
840942
TX
Other
Enumeration date
01/15/2022
Last updated
01/15/2022
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