Individual
MS. LAKEISHA MARIE DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
28 SAINT PAUL AVE, NEWARK, NJ 07106-1617
(973) 373-5325
Mailing address
28 SAINT PAUL AVE, NEWARK, NJ 07106-1617
(973) 373-5325
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR22478700
NJ
363LW0102X
Women's Health Nurse Practitioner
Primary
26NJ15028900
NJ
Other
Enumeration date
11/07/2010
Last updated
05/24/2024
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