Provider Demographics
NPI:1700334638
Name:LAMIKANRA, ANNA (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:
Last Name:LAMIKANRA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5323
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-0210
Mailing Address - Country:US
Mailing Address - Phone:972-538-5943
Mailing Address - Fax:972-294-3309
Practice Address - Street 1:5001 SPRING VALLEY RD
Practice Address - Street 2:SUITE E 400
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75244-3946
Practice Address - Country:US
Practice Address - Phone:972-538-5943
Practice Address - Fax:972-294-3309
Is Sole Proprietor?:No
Enumeration Date:2016-09-20
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
102X00000X, 174H00000X
TXUNTWISE ALAMIKANRA45174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No102X00000XBehavioral Health & Social Service ProvidersPoetry Therapist
No174H00000XOther Service ProvidersHealth Educator