Individual
LAKEA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61429 N 7TH ST, SLIDELL, LA 70460-4681
(985) 259-9736
Mailing address
61429 N 7TH ST, SLIDELL, LA 70460-4681
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
LA
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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