National Provider Identifier
Lakisha Juanita Clark, LPN
Lakisha Juanita Clark, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Pittsford, NY and a listed phone number of (585) 383-1700.
Profile Overview
- NPI
- 1588968796
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- January 03, 2011
- Last Updated
- January 03, 2011
Practice Location
- 500 Hahnemann Trl
- Pittsford, NY 14534-2356
Phone: (585) 383-1700
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1588968796
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Lakisha
- Middle Name
- Juanita
- Credential
- LPN
- Mailing Street Address
- 500 Hahnemann Trl
- Mailing City
- Pittsford
- Mailing State
- NY
- Mailing ZIP Code
- 14534-2356
- Mailing Country
- US
- Mailing Phone
- (585) 383-1700
- Practice Street Address
- 500 Hahnemann Trl
- Practice City
- Pittsford
- Practice State
- NY
- Practice ZIP Code
- 14534-2356
- Practice Country
- US
- Practice Phone
- (585) 383-1700
- Enumeration Date
- January 03, 2011
- Last Updated
- January 03, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)