Most Relevant Information
Provider Data
| NPI Number: | 1003455254 |
| Provider Name: | LAKEYSHA EGLESTON |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/04/2020 |
| Last Updated: | 01/04/2020 |
Provider Practice Location
520 DUDLEY ST
ROXBURY
MA
021192769
Practice Location Phone/Fax
| Phone: | 6179899499 |
| Fax: |
Provider Mailing Location
520 DUDLEY ST
ROXBURY
MA
021192769
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |