Individual
LEKISHA RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2920 KNIGHT ST STE 131, SUITE 131, SHREVEPORT, LA 71105-2412
(877) 868-9675
Mailing address
2920 KNIGHT ST STE 131, SHREVEPORT, LA 71105-2412
(877) 868-9675
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
20170761
LA
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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