Provider Demographics
NPI:1821804758
Name:CALBERT, LAKISHA MARIE
Entity type:Individual
Prefix:
First Name:LAKISHA
Middle Name:MARIE
Last Name:CALBERT
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 1:10448 APPLE CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46235-4813
Mailing Address - Country:US
Mailing Address - Phone:317-627-1004
Mailing Address - Fax:
Practice Address - Street 1:10448 APPLE CREEK WAY
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46235-4813
Practice Address - Country:US
Practice Address - Phone:317-627-1004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health