MEDICARE: LAKESHA N. RICHARDS

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	374U00000X	Home Health Aide

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932617859
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAKESHA N. RICHARDS

Provider Business Mailing Address
First Line	:	5230 GOLD TREE CT
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-1772
Country	:	US
Telephone Number	:	407-580-5933
Fax Number	:	321-445-5468

Provider Business Practice Location Address
First Line	:	5230 GOLD TREE CT
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-1772
Country	:	US
Telephone Number	:	407-580-5933
Fax Number	:	321-445-5468

Authorized Official
Title or Position	:	OWNER/DIRECTOR
Name	:	MS. LAKESHA N RICHARDS
Credential	:
Telephone Number	:	407-580-5933

Provider Enumeration Date	:	01/12/2018
Last Update Date	:	10/06/2021

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