Provider Demographics
NPI:1265015432
Name:ZUNIGA, LAKEESHA (PHARMD)
Entity Type:Individual
Prefix:
First Name:LAKEESHA
Middle Name:
Last Name:ZUNIGA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13104 SCOTCH PINE DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-2532
Mailing Address - Country:US
Mailing Address - Phone:214-449-5800
Mailing Address - Fax:972-620-9145
Practice Address - Street 1:16750 WESTGROVE DR STE 100
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-5624
Practice Address - Country:US
Practice Address - Phone:469-320-2424
Practice Address - Fax:972-620-9145
Is Sole Proprietor?:No
Enumeration Date:2021-05-04
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41254183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX41254OtherTEXAS STATE BOARD OF PHARMACY