Lakisha Towanda Streater, LMBT 10697

NPI #1194131953 in Wadesboro, North Carolina

Provider Information

NPI Number: 1194131953
Entity Type: Individual
Name: Lakisha Towanda Streater, LMBT 10697
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: LMBT 10697
Enumeration Date: Jul 1, 2014
Last Updated: Jul 17, 2014

Practice Location

Address: 112 S GREEN ST
City: Wadesboro
State: North Carolina
ZIP Code: 28170-2781
Phone: (704) 690-3597

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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