Individual
LAKIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3444 GAITHER RD # TD, WINDSOR MILL, MD 21244-2919
(443) 330-2206
Mailing address
PO BOX 47395, WINDSOR MILL, MD 21244-0395
(443) 330-2206
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R156324
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
04/08/2021
Last updated
04/08/2021
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