Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAKIESHA BOHANNON, PA
Active Sole ProprietorLAKIESHA BOHANNON, PA is a Surgical Physician Assistant healthcare provider located in RICHARDSON, Texas. NPI 1255889853 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · RICHARDSON, TX
Registration Details
- NPI Number
- 1255889853
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 13, 2016 (9.9512473503609 yrs)
- Last Updated
- Aug 4, 2020
- License
-
PA13729 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3600 SHIRE BLVD STE 104RICHARDSON, TX, 750822236Browse TX providers · Browse ZIP 75082
- Phone
- 9724876400
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in RICHARDSON, TX
| Name | Credential | NPI |
|---|---|---|
| LU LIU | PA | 1093776635 |
| MRS. DONNA LYNN BAILEY | P.A.-C. | 1659464691 |
| MR. BRECK JAMES WHEELOCK | PA-C | 1174879159 |
| KRISTOPHER HOLMES | PA-C | 1750773131 |
| KENNEDY NICOLE GOMBERT | — | 1154199792 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.