Henderson, Lakisha
Henderson, Lakisha is an individual health care provider with primary practice located at 2619 S. Lancaster Rd , Dallas TX 75216. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Henderson, Lakisha can be contacted via phone (214) 376-7388.Contact Information
Primary practice address
2619 S. Lancaster Rd
Dallas TX 75216
Phone: (214) 376-7388
Fax: (214) 376-7899
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Addiction (Substance Use Disorder) | 163WA0400X | 300712 | Texas |
Profile Details
| NPI number | 1043651367 |
|---|---|
| LBN Legal business name | Henderson, Lakisha |
| Credentials | LICENSED NURSE |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2013 |
| Last updated | Apr 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043651367 | NPPES |
| Texas | Other | 300712 | LVN |
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