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Individual

MISS LAKEESHA ANTOINETTE FRANKLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
2855 CRAIN HWY, WALDORF, MD 20601-2807
(240) 427-1926
(240) 427-1927
Mailing address
PO BOX 759047, BALTIMORE, MD 21275-9047

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110002883
VA
363A00000X
Physician Assistant
Primary
C0003751
MD

Other

Enumeration date
09/15/2008
Last updated
10/30/2012
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