Individual
MS. LAKISHA SHENIA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
(580) 354-5000
Mailing address
2424 NW 42ND ST, LAWTON, OK 73505-1705
(580) 917-5410
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
48007
OK
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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