Individual
LAKISHA DUFFIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4900 MERIDIAN ST NW, NORMAL, AL 35762-7500
(256) 372-4011
Mailing address
3784 UNIVERSITY DR NW APT 122, HUNTSVILLE, AL 35816-3156
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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