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

LAKESHA WILSON, DENTAL HYGIENIST

Active Sole Proprietor

LAKESHA WILSON, DENTAL HYGIENIST is a Dental Hygienist healthcare provider located in BOSSIER, Louisiana. NPI 1619034824 is currently active in the NPPES registry. Verify at CMS.

Dental Hygienist · BOSSIER, LA

Registration Details

NPI Number
1619034824
Provider Type
Individual
Gender
Female
NPI Issued
Jan 3, 2007 (19.46663920235 yrs)
Last Updated
Sep 12, 2008
Licenses
3499 (LA)
3499-08 (LA)
Sole Proprietor
Yes

Practice Information

Address
1067 TWINNING DR.
BOSSIER, LA, 71110
Browse LA providers · Browse ZIP 71110
Phone
3184564018
Primary Specialty
Dental Hygienist
124Q00000X
Additional Specialty
Dental Hygienist
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.