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NPI Code Detail

MEDICARE: LEKESHIA OLIVER

MEDICARE: LEKESHIA OLIVER
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
1235Z00000XSpeech-Language Pathologist119203TX

General Provider Information

NPI Number : 1205579992
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEKESHIA OLIVER
Provider Business Mailing Address
First Line : 1708 CHERBOURG DR APT 1209
Second Line :
City : FORT WORTH
State : TX
Zip : 76120-5024
Country : US
Telephone Number : 409-350-0751
Fax Number :
Provider Business Practice Location Address
First Line : 4825 WELLESLEY AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-6148
Country : US
Telephone Number : 817-732-6608
Fax Number : 817-735-4118
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2022
Last Update Date : 04/19/2022

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Directions to “ LEKESHIA OLIVER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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