person
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. You can also correspond with Lakeata Johnson through the mailing address at 2070 AYRSLEY TOWN BLVD UNIT A, CHARLOTTE, NC - 28273-4056 (mailing address contact number: 980-228-6653).

Location: 2070 Ayrsley Town Blvd Unit A, Charlotte, NC, 28273-4056
person
Provider Profile Details
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
institution
Provider Business Practice Location Address Details
Address
2070 Ayrsley Town Blvd Unit A
City
State
Zip
28273-4056
Phone Number
980-228-6653
Fax Number
person
Provider Business Mailing Address Details
Address
2070 Ayrsley Town Blvd Unit A
City
State
Zip
28273-4056
Phone Number
980-228-6653
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
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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