Provider Demographics
NPI:1851855506
Name:TURNER, LAQUANNA LASHAY (HAIR LOSS SPECIALIS)
Entity Type:Individual
Prefix:
First Name:LAQUANNA
Middle Name:LASHAY
Last Name:TURNER
Suffix:
Gender:F
Credentials:HAIR LOSS SPECIALIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2770 MAIN ST STE 195
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-4417
Mailing Address - Country:US
Mailing Address - Phone:469-833-6725
Mailing Address - Fax:
Practice Address - Street 1:2770 MAIN ST STE 195
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-4417
Practice Address - Country:US
Practice Address - Phone:469-833-6725
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-28
Last Update Date:2021-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management