Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAKESHA WILSON, DENTAL HYGIENIST
Active Sole ProprietorDental Hygienist · BOSSIER, LA
Registration Details
- NPI Number
- 1619034824
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 3, 2007 (19.306588872208 yrs)
- Last Updated
- Sep 12, 2008
- Licenses
-
3499 (LA)3499-08 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1067 TWINNING DR.BOSSIER, LA, 71110Browse 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.