Bohannon, Lakiesha
Bohannon, Lakiesha is an sole proprietor health care provider with primary practice located at 3600 Shire Blvd Ste 104 , Richardson TX 75082-2236. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Bohannon, Lakiesha can be contacted via phone (972) 487-6400.Contact Information
Primary practice address
3600 Shire Blvd Ste 104
Richardson TX 75082-2236
Phone: (972) 487-6400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA13729 | Texas |
Profile Details
| NPI number | 1255889853 |
|---|---|
| LBN Legal business name | Bohannon, Lakiesha |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2016 |
| Last updated | Aug 4th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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