Individual
LAKEESHAW OMOYENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
5201 MCCART AVE STE H, FORT WORTH, TX 76115-3700
(817) 207-8700
(817) 207-8778
Mailing address
5201 MCCART AVE STE H, FORT WORTH, TX 76115-3700
(817) 207-8700
(817) 207-8778
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
168965
TX
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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