Individual
LAKEISHA PARRISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3686 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL 32435-8463
(850) 332-6371
(850) 595-1400
Mailing address
3686 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL 32435-8463
(850) 332-6371
(850) 595-1400
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018878500
—
FL
Enumeration date
11/09/2016
Last updated
10/20/2025
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