| Lakisha Shantaye Parks, LPN | |
|
4200 Emerald Dr, Bridgeport, MI 48722-9520 | |
| (989) 372-3691 | |
| Not Available |
| Full Name | Lakisha Shantaye Parks |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 4200 Emerald Dr, Bridgeport, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578118378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 4703117282 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lakisha Shantaye Parks, LPN 339 S 25th St, Saginaw, MI 48601-6337 Ph: (989) 372-3691 | Lakisha Shantaye Parks, LPN 4200 Emerald Dr, Bridgeport, MI 48722-9520 Ph: (989) 372-3691 |
Jeremiah J Vallender, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 7560 Moorish Rd, Bridgeport, MI 48722 Phone: 989-355-5944 | |
Melissa Ann Harrison, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 6031 Jade Ln, Bridgeport, MI 48722 Phone: 989-890-2513 |