Individual
LAKISHA REDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RMA, CCMA, AHI, PBT
Contact information
Practice address
12320 ASHLEY DR, STE D, GULFPORT, MS 39503
(228) 609-9752
(888) 964-2655
Mailing address
12320 ASHLEY DR, STE D, GULFPORT, MS 39503
(228) 609-9752
(888) 964-2655
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
2591601
MS
246RM2200X
Medical Laboratory Technician
25475911
MS
246RP1900X
Phlebotomy Technician
Primary
65804
MS
247ZC0005X
Clinical Laboratory Director (Non-physician)
2591601
MS
Other
Enumeration date
01/01/2019
Last updated
01/04/2022
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