Individual
LAKESHA SHAMORA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HS
Contact information
Practice address
99 NW 183RD ST, SUITE 239, MIAMI, FL 33169-4502
(305) 652-2874
(305) 652-8528
Mailing address
11031 NE 6TH AVE, MIAMI, FL 33161-7182
(305) 398-6100
(305) 757-4465
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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