Individual
LAKEIMA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4195 BOWMAN MEADOW DR, CANAL WINCHESTER, OH 43110-7844
(409) 549-2659
Mailing address
4195 BOWMAN MEADOW DR, CANAL WINCHESTER, OH 43110-7844
(409) 549-2659
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0472811
—
OH
Enumeration date
08/09/2023
Last updated
08/10/2023
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