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Individual

MRS. LAKISHA DENISE CONEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1150 N 35TH AVE, SUITE 605, HOLLYWOOD, FL 33021-5424
(954) 265-7900
(954) 276-0252
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025
(954) 276-5663
(954) 276-0301

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9203065
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002922300
FL
Enumeration date
06/24/2008
Last updated
03/22/2021
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