Individual
MS. LAKISHA PERCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6925 GLEN ERROL WAY, CHATTANOOGA, TN 37412-4059
(423) 718-5132
Mailing address
6925 GLEN ERROL WAY, CHATTANOOGA, TN 37412-4059
(423) 718-5132
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
084741841
TN
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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