Healthcare Provider Details

I. General information

NPI: 1790635845
Provider Name (Legal Business Name): LAKESHIA L GREER
Entity Type: Individual
Gender:
Sole Proprietor: N

Provider Other Name: LAKESHIA L MCBRIDE

II. Dates (important events)

Enumeration Date: 01/29/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8243 E STOCKTON BLVD
SACRAMENTO CA
95828-8204
US

IV. Provider business mailing address

5681 SPYGLASS LN
CITRUS HEIGHTS CA
95610-7755
US

V. Phone/Fax

Practice location:
  • Phone: 916-737-5555
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: