Lakeata Johnson, LICENSED COSMETOLOGI - Charlotte, NC

Lakeata Johnson, LICENSEDCOSMETOLOGI

Prosthetic/Orthotic Supplier in Charlotte, North Carolina

NPI 1699331934

Lakeata Johnson is a Prosthetic/Orthotic Supplier based in Charlotte, NC. Lakeata Johnson practices in Charlotte, NC and has the professional credentials of LICENSEDCOSMETOLOGI. The NPI Number for Lakeata Johnson is 1699331934 and holds a License No. C77340 (North Carolina).

The current practice location address for Lakeata Johnson is 2070 Ayrsley Town Blvd Unit A, Charlotte, NC and can be reached out via phone at 980-228-6653.

Location: 2070 Ayrsley Town Blvd Unit A, Charlotte, NC, 28273-4056

NPI Number

1699331934

Provider Name

Lakeata Johnson

Credential

LICENSEDCOSMETOLOGI

Provider Entity Type

Individual

Gender

Female

Address

2070 Ayrsley Town Blvd Unit A, Charlotte, NC, 28273-4056

Phone Number

980-228-6653

Fax Number

Provider Enumeration Date

05/13/2019

Last Update Date

03/10/2024

Address

2070 Ayrsley Town Blvd Unit A

City

Charlotte

State

North Carolina

Zip

28273-4056

Phone Number

980-228-6653

Fax Number

Address

2070 Ayrsley Town Blvd Unit A

City

Charlotte

State

North Carolina

Zip

28273-4056

Phone Number

980-228-6653

Fax Number

Type

Suppliers

Classification

Prosthetic/Orthotic Supplier

Speciality

Taxonomy

335E00000X

License No.

C77340 (North Carolina)

Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

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