Provider Demographics
NPI:1184385353
Name:WASHINGTON, LAKEISHA (MPA, CD(DONA), IBCLC)
Entity type:Individual
Prefix:MRS
First Name:LAKEISHA
Middle Name:
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:MPA, CD(DONA), IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1387 FAIRPORT RD STE 1000D
Mailing Address - Street 2:
Mailing Address - City:FAIRPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14450-2009
Mailing Address - Country:US
Mailing Address - Phone:585-340-7574
Mailing Address - Fax:
Practice Address - Street 1:1387 FAIRPORT RD STE 1000D
Practice Address - Street 2:
Practice Address - City:FAIRPORT
Practice Address - State:NY
Practice Address - Zip Code:14450-2009
Practice Address - Country:US
Practice Address - Phone:585-340-7574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-10
Last Update Date:2024-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No374J00000XNursing Service Related ProvidersDoula