Individual
MRS. LAKIESHA YOUNG HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
209 SAMFORD AVE, OPELIKA, AL 36801-3121
(334) 332-2150
Mailing address
3741 LEE ROAD 393, NOTASULGA, AL 36866-2104
(334) 332-2150
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/23/2021
Last updated
02/20/2024
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