| Doctor Name: | LAKEISHA YVETTE DICKINSON |
| NPI Number: | 1366751703 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYCH TECH |
| License Number: | |
| Business Practice Address: | Building 301 Andrews Ave. Lyster Army Health Clinic Ft. Rucker, AL - 36362 |
| Business Phone Number: | 3342550439 |
| Business Fax Number: | |
| Mailing Address: | Building 301 Andrews Ave., Lyster Army Health Clinic FT. RUCKER |
| State: | AL |
| Postal Code: | 36362 |
| Phone Number: | 3342550439 |
| Fax Number: | |
| NPI Enumeration Date: | 10/04/2010 |
| NPI Last Update Date: | 10/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Specialist/Technologist, Other |
| Taxonomy Specialization: | |
| Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |