Roe, Lakisha G

Roe, Lakisha G is an sole proprietor health care provider with primary practice located at 149 Hart St , Sheppard Afb TX 76311-3430. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Roe, Lakisha G can be contacted via phone (940) 676-5941.

Contact Information

Primary practice address
149 Hart St Sheppard Afb TX 76311-3430
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X I-4779 South Carolina
Pharmacy Service Providers / Pharmacist 183500000X 12680 South Carolina

Profile Details

NPI number 1467631226
LBN Legal business name Roe, Lakisha G
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2007
Last updated Apr 5th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467631226 NPPES
Other 1467631226 USAF

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