Individual
LAKEESHA ASHLEY HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8813 WESTBROOK PL, SHREVEPORT, LA 71108-6023
(318) 210-1392
Mailing address
8813 WESTBROOK PL, SHREVEPORT, LA 71108-6023
(318) 210-1392
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
01972375
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008321370
LA DRIVERS LICENSE
LA
Enumeration date
05/16/2018
Last updated
05/16/2018
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