Provider Demographics
NPI:1760150361
Name:MCMILLIAN, LAKIONA
Entity Type:Individual
Prefix:
First Name:LAKIONA
Middle Name:
Last Name:MCMILLIAN
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 1:17591 SW 39TH CT
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34473-4746
Mailing Address - Country:US
Mailing Address - Phone:352-504-1029
Mailing Address - Fax:
Practice Address - Street 1:17591 SW 39TH CT
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34473-4746
Practice Address - Country:US
Practice Address - Phone:352-504-1029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-31
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health