Individual provider · NPI-1

Lakesia Deneise Owens, Medical Assistant

Technician · Newport News, VA

NPI number1497341341
StatusActive
Last updated in NPPESDec 15, 2020

Details

NPI
1497341341
Entity type
Individual (NPI-1)
Name
Lakesia Deneise Owens
Credential
Medical Assistant
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 15, 2020
Certification date
Dec 15, 2020
Last updated
Dec 15, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374700000X Technician–VAYes

Practice location

516 Latham Dr
Newport News, VA 23601-3151

Phone 757-902-0154

Mailing address

516 Latham Dr
Newport News, VA 23601-3151

Phone 757-902-0154

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