Provider Demographics
NPI:1588197289
Name:HUNLEY, LAKISHA M
Entity type:Individual
Prefix:
First Name:LAKISHA
Middle Name:M
Last Name:HUNLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LAKISHA
Other - Middle Name:M
Other - Last Name:CHINN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2015 NW 10TH ST
Mailing Address - Street 2:2808 NW 31ST
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73106-2429
Mailing Address - Country:US
Mailing Address - Phone:405-848-7555
Mailing Address - Fax:
Practice Address - Street 1:2808 NW 31ST ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112
Practice Address - Country:US
Practice Address - Phone:405-848-7555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-10
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist