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Individual

LAKEISHA A BEDFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
110 N IH 35 STE 315 PMB 3249, ROUND ROCK, TX 78681
(737) 328-6194
Mailing address
110 N IH 35 STE 315 PMB 3249, ROUND ROCK, TX 78681
(737) 328-6194

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D9LIFMPEU6
TX
224P00000X
Prosthetist
D9LIFMPEU6
TX
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
D9LIFMPEU6
TX
335E00000X
Prosthetic/Orthotic Supplier
D9LIFMPEU6
TX

Other

Enumeration date
05/26/2025
Last updated
05/26/2025
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