Individual
MRS. LAKESHA POLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
3584 FORREST AVE, MEMPHIS, TN 38122-5123
(901) 323-2709
Mailing address
2487 WHITNEY AVE, MEMPHIS, TN 38127-8351
(901) 239-1020
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
96982
TN
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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