Healthcare Provider Details

I. General information

NPI: 1740119403
Provider Name (Legal Business Name): GARINISHA SONJAMEKER NICHOLS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27367 HIGHWAY 190 # 1312
LACOMBE LA
70445-6402
US

IV. Provider business mailing address

27367 HIGHWAY 190 # 1312
LACOMBE LA
70445-6402
US

V. Phone/Fax

Practice location:
  • Phone: 985-264-0043
  • Fax:
Mailing address:
  • Phone: 985-264-0043
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: