Provider Demographics
NPI:1093312662
Name:FRITH, LAKEIA
Entity Type:Individual
Prefix:MS
First Name:LAKEIA
Middle Name:
Last Name:FRITH
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 1:2407 GENERAL COLLINS AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114-5033
Mailing Address - Country:US
Mailing Address - Phone:504-473-2815
Mailing Address - Fax:
Practice Address - Street 1:300 AMBASSADOR DR
Practice Address - Street 2:
Practice Address - City:AVONDALE
Practice Address - State:LA
Practice Address - Zip Code:70094-2409
Practice Address - Country:US
Practice Address - Phone:504-473-2815
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)