Lakeesha Elliott

NPI #1740545904 in Mount Vernon, New York

Provider Information

NPI Number: 1740545904
Entity Type: Individual
Name: Lakeesha Elliott
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jul 12, 2012
Last Updated: Jul 12, 2012

Practice Location

Address: 101 ELLWOOD AVE
City: Mount Vernon
State: New York
ZIP Code: 10552-3448
Phone: (917) 557-4962

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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