Individual
LAKEESHA SHONTELL ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3853 N 54TH BLVD, MILWAUKEE, WI 53216-2205
(414) 841-0104
Mailing address
3853 N. 54TH BLVD, MILWAUKEE, WI 53216
(414) 841-0104
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5072-33
WI
363LP2300X
Primary Care Nurse Practitioner
Primary
5072-33
WI
Other
Enumeration date
10/01/2012
Last updated
01/04/2016
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