Individual
LAKIESHA JOHNSON SQUIREWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
10130 PERIMETER PKWY STE 200, CHARLOTTE, NC 28216-0197
(704) 948-3536
Mailing address
10130 PERIMETER PARKWAY STE 200, CHARLOTTE, NC 28216
(888) 849-7379
(855) 857-7333
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5009714
NC
Other
Enumeration date
07/27/2017
Last updated
07/28/2017
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