Lakeitha Lashun Van Zandt Muckelroy, REGISTERED NURSE

NPI #1538824974 in Mansfield, Texas

Provider Information

NPI Number: 1538824974
Entity Type: Individual
Name: Lakeitha Lashun Van Zandt Muckelroy, REGISTERED NURSE
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Credential: REGISTERED NURSE
Enumeration Date: Nov 1, 2021
Last Updated: Nov 1, 2021

Practice Location

Address: 1301 E DEBBIE LN STE 210
City: Mansfield
State: Texas
ZIP Code: 76063-3305
Phone: (817) 891-1169

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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