Doctor Name: | MS. LAKEISHA ASHANTI-JOANNA KING |
NPI Number: | 1255504825 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | 1-098033 |
Business Practice Address: | 203 W Lee St Tuskegee, AL - 360831719 |
Business Phone Number: | 3347277050 |
Business Fax Number: | 3347276284 |
Mailing Address: | 203 W Lee St, TUSKEGEE |
State: | AL |
Postal Code: | 360831719 |
Phone Number: | 3347277050 |
Fax Number: | 3347276284 |
NPI Enumeration Date: | 04/03/2008 |
NPI Last Update Date: | 04/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1-098033 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |