Individual provider · Type 1 NPI
Lakisha Henderson, LICENSED NURSE
Addiction (Substance Use Disorder) Registered Nurse · Dallas, TX
NPI number
1043651367
Active
Practice location
2619 S. Lancaster Rd
Dallas, TX 75216
Fax (214) 376-7899
Mailing address
3543 Rio Grande Cir
Dallas, TX 75233-2553
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse Primary | 163WA0400X | 300712 (TX) |
Addiction (Substance Use Disorder) Registered Nurse: Definition to come...
Other addiction (substance use disorder) registered nurse providers in Dallas
About NPI 1043651367
Lakisha Henderson, LICENSED NURSE's National Provider Identifier is 1043651367, issued on Jul 15, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Dallas, TX. The record was last updated on Apr 21, 2020.