Lakisha Shantaye Parks, LPN
NPI #1578118378 in Bridgeport, Michigan
Provider Information
- NPI Number
- 1578118378
- Entity Type
- Individual
- Name
- Lakisha Shantaye Parks, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Aug 8, 2019
- Last Updated
- Jul 28, 2025
Practice Location
- Address
- 4200 EMERALD DR
- City
- Bridgeport
- State
- Michigan
- ZIP Code
- 48722-9520
- Phone
- (989) 372-3691
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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