Individual provider · Type 1 NPI
Lakeata Johnson, LICENSED COSMETOLOGI
Prosthetic/Orthotic Supplier · Charlotte, NC
Practice location
2070 Ayrsley Town Blvd Unit A
Charlotte, NC 28273-4056
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | C77340 (NC) |
Prosthetic/Orthotic Supplier: 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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About NPI 1699331934
Lakeata Johnson, LICENSED COSMETOLOGI's National Provider Identifier is 1699331934, issued on May 13, 2019. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Charlotte, NC. The record was last updated on May 13, 2019.