Individual
LAKEIDRA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
164 S RICHELIEU CIR, NEW IBERIA, LA 70560-1568
(337) 380-8876
Mailing address
164 S RICHELIEU CIR, NEW IBERIA, LA 70560-1568
(337) 380-8876
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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