Most Relevant Information
Provider Data
NPI Number: | 1003538752 |
Provider Name: | LAKESHA INEZ POWELL |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 09/19/2022 |
Last Updated: | 09/19/2022 |
Provider Practice Location
4545 S 86TH ST STE 101
LINCOLN
NE
685269263
Practice Location Phone/Fax
Phone: | 5152075251 |
Fax: |
Provider Mailing Location
4545 S 86TH ST STE 101
LINCOLN
NE
685269263
Provider Mailing Phone/Fax
Phone: | |
Fax: |