Individual
LAKYNN R BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1307 PORTER WAGONER BLVD, WEST PLAINS, MO 65775-1828
(417) 255-8645
Mailing address
1128 MOUNT CALM RD, VIOLA, AR 72583-9445
(870) 371-0380
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2022031561
MO
363LF0000X
Family Nurse Practitioner
Primary
220776
AR
Other
Enumeration date
06/17/2022
Last updated
02/13/2024
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