Individual
MS. LAKEISHA LANNICK LIGHTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
3551 WINDSOR SPRING RD, 22, HEPHZIBAH, GA 30815-7132
(706) 955-0674
Mailing address
3551 WINDSOR SPRING RD, 22, HEPHZIBAH, GA 30815-7132
(706) 955-0674
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
0030015556
GA
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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