Provider Demographics
NPI:1982226502
Name:ARMSTRONG, LAKESHA (RN)
Entity Type:Individual
Prefix:
First Name:LAKESHA
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:LAKESHA
Other - Middle Name:
Other - Last Name:ARMSTRONG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:386 BAKERS FERRY TRL
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:GA
Mailing Address - Zip Code:30907-4955
Mailing Address - Country:US
Mailing Address - Phone:706-312-2742
Mailing Address - Fax:
Practice Address - Street 1:1446 SAWMILL TRL
Practice Address - Street 2:
Practice Address - City:GROVETOWN
Practice Address - State:GA
Practice Address - Zip Code:30813-3998
Practice Address - Country:US
Practice Address - Phone:706-495-6485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-18
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN238866163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice