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NPI Code Detail

MEDICARE: LAKISKA STEPHENSON-PERRY

MEDICARE:   LAKISKA  STEPHENSON-PERRY
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
1374J00000XDoula

General Provider Information

NPI Number : 1548114481
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAKISKA STEPHENSON-PERRY
Provider Business Mailing Address
First Line : 830 MANRESA LN
Second Line :
City : FLORISSANT
State : MO
Zip : 63031-7240
Country : US
Telephone Number : 314-708-5165
Fax Number :
Provider Business Practice Location Address
First Line : 830 MANRESA LN
Second Line :
City : FLORISSANT
State : MO
Zip : 63031-7240
Country : US
Telephone Number : 314-708-5165
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2026
Last Update Date : 02/26/2026

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Directions to “ LAKISKA STEPHENSON-PERRY ” Practice Location

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