person
Lakiesha Bohannon, PA
Surgical Physician Assistant in Richardson, Texas
NPI 1255889853

Lakiesha Bohannon is a Surgical Physician Assistant based in Richardson, TX and is specialized in Surgical. Lakiesha Bohannon practices in Richardson, TX and has the professional credentials of PA. The NPI Number for Lakiesha Bohannon is 1255889853 and holds a License No. PA13729 (Texas).

The current practice location address for Lakiesha Bohannon is 3600 Shire Blvd Ste 104, Richardson, TX and can be reached out via phone at 972-487-6400.

Location: 3600 Shire Blvd Ste 104, Richardson, TX, 75082-2236
person
Provider Profile Details
NPI Number
1255889853
Provider Name
Lakiesha Bohannon
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
3600 Shire Blvd Ste 104, Richardson, TX, 75082-2236
Phone Number
972-487-6400
Fax Number
Provider Enumeration Date
09/13/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3600 Shire Blvd Ste 104
City
State
Zip
75082-2236
Phone Number
972-487-6400
Fax Number
person
Provider Business Mailing Address Details
Address
3600 Shire Blvd Ste 104
City
State
Zip
75082-2236
Phone Number
972-487-6400
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA13729 (Texas)
Definition
Definition to come...
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