Individual
LAKEISHA ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3659 LORNA RD STE 139, HOOVER, AL 35216-5959
(662) 524-5428
Mailing address
325 CHAPEL HILL TRL, FULTONDALE, AL 35068-6078
(662) 524-5428
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
S36T1C738G
AL
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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