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NPI Code Detail

MEDICARE: LAKEISHA M BARKER

MEDICARE: LAKEISHA M BARKER
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
1106S00000XBehavior TechnicianNV

General Provider Information

NPI Number : 1063191724
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAKEISHA M BARKER
Provider Business Mailing Address
First Line : 3531 E RUSSELL RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-2245
Country : US
Telephone Number : 702-547-9819
Fax Number :
Provider Business Practice Location Address
First Line : 3531 E RUSSELL RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-2245
Country : US
Telephone Number : 702-547-9819
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2023
Last Update Date : 07/11/2023

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Directions to “ LAKEISHA M BARKER ” Practice Location

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