Provider Demographics
NPI:1396535399
Name:TANKSLEY, LAKEISHA R
Entity type:Individual
Prefix:
First Name:LAKEISHA
Middle Name:R
Last Name:TANKSLEY
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 1:3918 N 52ND ST # NE68104
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-2910
Mailing Address - Country:US
Mailing Address - Phone:402-885-3870
Mailing Address - Fax:
Practice Address - Street 1:3918 N 52ND ST # NE68104
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68104-2910
Practice Address - Country:US
Practice Address - Phone:402-885-3870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health