DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAKISHA S RIVERS

Active Sole Proprietor

LAKISHA S RIVERS is a Podiatric Surgery healthcare provider located in SAINT AUGUSTINE, Florida. NPI 1508535790 is currently active in the NPPES registry. Verify at CMS.

Podiatric Surgery · SAINT AUGUSTINE, FL

Registration Details

NPI Number
1508535790
Provider Type
Individual
Gender
Female
NPI Issued
Sep 10, 2021 (4.9658133894184 yrs)
Last Updated
Jun 1, 2022
License
237461 (FL)
Sole Proprietor
Yes

Practice Information

Address
225 OLD VILLAGE CENTER CIR UNIT 4102
SAINT AUGUSTINE, FL, 320845806
Browse FL providers · Browse ZIP 32084
Phone
9047559424
Primary Specialty
Podiatric Surgery
3747A0650X

Other Podiatric Surgery Providers in SAINT AUGUSTINE, FL

Name Credential NPI
MRS. MELISSA A JOHNSON BOUCHER 1154027761
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.