Individual
MS. LAKESHIA EVETT COAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3125 POPLARWOOD CT, SUITE 304, RALEIGH, NC 27604-1084
(919) 790-8580
Mailing address
8300 RIVERWIND LN, APT 108, RALEIGH, NC 27617-8451
(919) 790-8580
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487720405
—
NC
Enumeration date
11/28/2006
Last updated
08/01/2012
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