Individual
LAKEISHA STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1106 VETERANS PKWY, CLARKSVILLE, IN 47129-2370
(812) 285-1741
Mailing address
310 S HANCOCK ST UNIT 307, LOUISVILLE, KY 40202-4102
(574) 303-7425
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26026385A
IN
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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