person
Mrs. Lakisha Deshawnda Chaffin-hickerson, OTR/L
Military Health Care Provider in Lackland A F B, Texas
NPI 1780763334

Lakisha Deshawnda Chaffin-hickerson is a Military Health Care Provider based in Lackland A F B, TX. Lakisha Deshawnda Chaffin-hickerson practices in Lackland A F B, TX and has the professional credentials of OTR/L. The NPI Number for Lakisha Deshawnda Chaffin-hickerson is 1780763334 and holds a License No. 111666 (Texas).

The current practice location address for Lakisha Deshawnda Chaffin-hickerson is 2200 Bergquist Dr Ste 1, Lackland A F B, TX and can be reached out via phone at 210-292-5253 and via fax at 210-292-7991.

Location: 2200 Bergquist Dr Ste 1, Lackland A F B, TX, 78236-9908
person
Provider Profile Details
NPI Number
1780763334
Provider Name
Lakisha Deshawnda Chaffin-hickerson
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
2200 Bergquist Dr Ste 1, Lackland A F B, TX, 78236-9908
Phone Number
210-292-5253
Fax Number
210-292-7991
Provider Enumeration Date
11/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2200 Bergquist Dr Ste 1
City
State
Zip
78236-9908
Phone Number
210-292-5253
Fax Number
210-292-7991
person
Provider Business Mailing Address Details
Address
2200 Bergquist Dr Ste 1
City
State
Zip
78236-9908
Phone Number
210-292-5253
Fax Number
210-292-7991
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
111666 (Texas)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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