Provider Demographics
NPI:1841447968
Name:CRIGLER, LAKISHA ANTOINETTE (MD)
Entity type:Individual
Prefix:DR
First Name:LAKISHA
Middle Name:ANTOINETTE
Last Name:CRIGLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 HOSPITAL CIR STE 102
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TN
Mailing Address - Zip Code:38242-4597
Mailing Address - Country:US
Mailing Address - Phone:731-644-8214
Mailing Address - Fax:731-644-8230
Practice Address - Street 1:300 HOSPITAL CIR STE 102
Practice Address - Street 2:SIGNATURE OBSTETRICS AND GYNECOLOGY
Practice Address - City:PARIS
Practice Address - State:TN
Practice Address - Zip Code:38242-4597
Practice Address - Country:US
Practice Address - Phone:731-644-8214
Practice Address - Fax:731-644-8230
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-20
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS20695174400000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program