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NPI Code Detail

MEDICARE: LAKISHA WASHINGTON

MEDICARE: LAKISHA WASHINGTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner56436TX

General Provider Information

NPI Number : 1336867407
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAKISHA WASHINGTON
Provider Business Mailing Address
First Line : 6839 GARNET TRAIL LN
Second Line :
City : RICHMOND
State : TX
Zip : 77469-4394
Country : US
Telephone Number : 979-257-2016
Fax Number :
Provider Business Practice Location Address
First Line : 4635 SOUTHWEST FWY STE 635
Second Line :
City : HOUSTON
State : TX
Zip : 77027-7112
Country : US
Telephone Number : 713-850-0049
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2022
Last Update Date : 08/16/2022

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Directions to “ LAKISHA WASHINGTON ” Practice Location

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