Individual
MRS. LAKIESHA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35180 NANKIN BLVD, WESTLAND, MI 48185-2092
(888) 360-9355
Mailing address
882 OAKMAN BLVD, DETROIT, MI 48238-3710
(888) 360-9355
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
04/09/2025
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