Individual
LAKEISHA SHANTA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2222 SIMON BOLIVAR AVE, 2ND FLOOR, NEW ORLEANS, LA 70113-1460
(504) 658-2829
(504) 658-2874
Mailing address
2222 SIMON BOLIVAR, 2ND FLOOR, NEW ORLEANS, LA 70113-4160
(504) 658-2829
(504) 658-2874
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN114624
LA
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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