Provider Demographics
NPI:1073188686
Name:AUGHT, LAKISHA ANN
Entity Type:Individual
Prefix:MS
First Name:LAKISHA
Middle Name:ANN
Last Name:AUGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5455 TIMBER CREEK PLACE DR APT 105
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-5359
Mailing Address - Country:US
Mailing Address - Phone:832-859-9269
Mailing Address - Fax:
Practice Address - Street 1:5455 TIMBER CREEK PLACE DR APT 105
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-5359
Practice Address - Country:US
Practice Address - Phone:832-859-9269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-25
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19193256347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle