Individual
LAKISHA EVETTE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1329 W WALNUT HILL LN STE 102, IRVING, TX 75038-3270
(940) 843-1455
(972) 535-0441
Mailing address
13052 DALLAS PKWY STE 210, FRISCO, TX 75033-4241
(940) 365-9001
(940) 365-9009
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP141093
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
834487
—
TX
Enumeration date
05/07/2019
Last updated
06/18/2025
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