Individual
LAKEETA S HIGDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
989 NATHANIEL RD, CLEVELAND, OH 44110-3233
(216) 413-8496
Mailing address
16218 TELFAIR AVE, CLEVELAND, OH 44128-3736
(216) 553-9598
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400171331002
OH
Other
Enumeration date
11/18/2016
Last updated
06/01/2024
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