Individual
LAKETA DYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9458 LANHAM SEVERN RD, SEABROOK, MD 20706-2600
(301) 577-3000
Mailing address
9458 LANHAM SEVERN RD, SEABROOK, MD 20706-2600
(301) 577-3000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R154296
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R154296
NURSING LICENSE
MD
Enumeration date
04/21/2016
Last updated
04/21/2016
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