SearchOhio172A00000X

Lakeisha Wilson

NPI 1902670714 · on the registry since 2023

Practice

Address
4609 Kammer Ave
Dayton, OH 45417
Phone
(937) 793-9200

Registry record

Primary taxonomy
172A00000X
172A00000X
Also registered as
372600000X
3747P1801X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-11-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio