Individual
LAKASHIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4805 HEATHER LN APT B, KILLEEN, TX 76549-4892
(254) 317-0673
Mailing address
4805 HEATHER LN APT B, KILLEEN, TX 76549-4892
(254) 317-0673
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
304647
TX
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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