MEDICARE: LAKIA PEARSON

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
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1003750399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAKIA PEARSON

Provider Business Mailing Address
First Line	:	409 CHERRY HILL TRL APT 304
Second Line	:
City	:	INKSTER
State	:	MI
Zip	:	48141-3402
Country	:	US
Telephone Number	:	313-559-6929
Fax Number	:

Provider Business Practice Location Address
First Line	:	32940 SCHOOLCRAFT RD
Second Line	:
City	:	LIVONIA
State	:	MI
Zip	:	48150-1609
Country	:	US
Telephone Number	:	734-762-9734
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2026
Last Update Date	:	04/16/2026

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Directions to “ LAKIA PEARSON ” Practice Location

Language	Start Address	Practice Location

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