Doctor Name: | LAKESHA TRENELL THOMAS |
NPI Number: | 1568750628 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | RN114691-AP06542 |
Business Practice Address: | 904 Catalpa St. Donaldsonville, LA - 70346 |
Business Phone Number: | 2252646800 |
Business Fax Number: | |
Mailing Address: | 904 Catalpa St., DONALDSONVILLE |
State: | LA |
Postal Code: | 70346 |
Phone Number: | 2252646800 |
Fax Number: | |
NPI Enumeration Date: | 07/11/2011 |
NPI Last Update Date: | 05/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN114691-AP06542 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |