Individual
LAKOSHA S DWELLINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5656 KELLEY ST, HOUSTON, TX 77026-1967
(713) 566-6000
Mailing address
3701 LUELLA BLVD APT 1906, LA PORTE, TX 77571-3698
(832) 665-5189
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1044948
TX
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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