Individual
MS. LAKIELA JANAYA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3203 45TH ST, KENOSHA, WI 53144-1940
(262) 221-3422
(262) 299-3635
Mailing address
3203 45TH ST, KENOSHA, WI 53144-1940
(262) 221-3422
(262) 299-3635
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
H6205307880205
WI
Other
Enumeration date
07/29/2026
Last updated
07/29/2026
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