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Lakeisha Small, LVN

Licensed Vocational Nurse in Dallas, TX. Individual provider (NPI-1).

NPI number1710463575
StatusActive
Last updated in NPPESJul 16, 2018

Details

NPI
1710463575
Entity type
Individual (NPI-1)
Name
Lakeisha Small
Credential
LVN
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 16, 2018
Last updated
Jul 16, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164X00000X Licensed Vocational Nurse212452TXYes

Practice location

12645 Hallum St
Dallas, TX 75243-1857

Phone 972-748-6206

Mailing address

12645 Hallum St
Dallas, TX 75243-1857

Phone 972-748-6206

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