Provider Demographics
NPI:1568047314
Name:KINDRED, LAKRISHI DESHON
Entity Type:Individual
Prefix:
First Name:LAKRISHI
Middle Name:DESHON
Last Name:KINDRED
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 1:19750 S VERMONT AVE STE 140
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90502-1130
Mailing Address - Country:US
Mailing Address - Phone:714-588-2831
Mailing Address - Fax:
Practice Address - Street 1:19750 S VERMONT AVE STE 140
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-1130
Practice Address - Country:US
Practice Address - Phone:714-588-2831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-12
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst