Healthcare Provider Details

I. General information

NPI: 1609782119
Provider Name (Legal Business Name): LAKESHA THOMPSON LVN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3680 WILSHIRE BLVD STE P04-1487
LOS ANGELES CA
90010-2707
US

IV. Provider business mailing address

3680 WILSHIRE BLVD STE P04-1487
LOS ANGELES CA
90010-2707
US

V. Phone/Fax

Practice location:
  • Phone: 213-729-1576
  • Fax: 213-444-7240
Mailing address:
  • Phone: 213-729-1576
  • Fax: 213-444-7240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number269972
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: