Individual
LAKEISHA BROOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1953 N 38TH ST, MILWAUKEE, WI 53208-1806
(414) 628-8498
Mailing address
1953 N 38TH ST, MILWAUKEE, WI 53208-1806
(414) 628-8498
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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