Provider Demographics
NPI:1356091805
Name:HUNTER, LAMEKA S
Entity Type:Individual
Prefix:
First Name:LAMEKA
Middle Name:S
Last Name:HUNTER
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 1:10160 ENGLISH OAKS DR.
Mailing Address - Street 2:
Mailing Address - City:KEITHVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71047-7561
Mailing Address - Country:US
Mailing Address - Phone:318-775-2030
Mailing Address - Fax:
Practice Address - Street 1:10160 ENGLISH OAKS DR.
Practice Address - Street 2:
Practice Address - City:KEITHVILLE
Practice Address - State:LA
Practice Address - Zip Code:71047-7561
Practice Address - Country:US
Practice Address - Phone:318-775-2030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-27
Last Update Date:2022-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA005836918172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver