Individual
LAKEEMA CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
235 W POPLAR ST APT H, ELIZABETHTOWN, KY 42701-1542
(270) 506-9276
Mailing address
235 W POPLAR ST APT H, ELIZABETHTOWN, KY 42701-1542
(270) 506-9276
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3018570
KY
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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