Lakeidra Johnson
Home Health Aide in New Iberia, LA. Individual provider (NPI-1).
NPI number1164021754
StatusActive
Last updated in NPPESOct 23, 2020
Details
- NPI
- 1164021754
- Entity type
- Individual (NPI-1)
- Name
- Lakeidra Johnson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 23, 2020
- Certification date
- Oct 23, 2020
- Last updated
- Oct 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
164 S Richelieu CirNew Iberia, LA 70560-1568
Phone 337-380-8876
Mailing address
164 S Richelieu CirNew Iberia, LA 70560-1568
Phone 337-380-8876
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