Provider Demographics
NPI:1366684862
Name:HAMILTON, LAKRISHA MARIE (RN)
Entity Type:Individual
Prefix:
First Name:LAKRISHA
Middle Name:MARIE
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 BIRCKHEAD PL
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43608-2321
Mailing Address - Country:US
Mailing Address - Phone:419-973-3834
Mailing Address - Fax:
Practice Address - Street 1:38 BIRCKHEAD PL
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43608-2321
Practice Address - Country:US
Practice Address - Phone:419-973-3834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-30
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN310625163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse