Individual
LAKISHA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5432 TWIN BROOK DR, CHARLOTTE, NC 28269-2361
(980) 499-5044
Mailing address
5432 TWIN BROOK DR, CHARLOTTE, NC 28269-2361
(980) 499-5044
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/31/2023
Last updated
10/25/2024
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