LAKIESHA BOHANNON

RICHARDSON, TX
NPI1255889853
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: TX  PA13729)
Enumeration Date2016-09-13
Last Update Date2020-08-04
Business Address
LAKIESHA BOHANNON PA
3600 SHIRE BLVD STE 104
RICHARDSON, TX 75082-2236
Phone number: 972-487-6400
Mailing Address
LAKIESHA BOHANNON PA
3600 SHIRE BLVD STE 104
RICHARDSON, TX 75082-2236
Phone number: 972-487-6400
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