MRS. LAKESHA POLK (NPI# 1336767375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336767375 |
| Entity Type | Individual |
| Full Name | MRS. LAKESHA POLK |
| Credential | HAIR LOSS SPECIALIST |
| Practice Address |
3584 Forrest Ave Memphis TN 38122-5123 |
| Mailing Address |
2487 Whitney Ave Memphis TN 38127-8351 |
| Practice Telephone | 9013232709 |
| Mailing Telephone | 9012391020 |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-07-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
96982 | TN | Other Service Providers |
| Street Address |
3584 FORREST AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38122-5123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235665746 | Casey Grier Smith | Student in an Organized Health Care Education/Training Program | 3628 Autumn Ave, Memphis, TN 38122 | 2017-05-03 |
| 1730463076 | H. George Wood Jr. | Pharmacist | 3502 Summer Avenue, Memphis, TN 38122 | 2011-10-05 |
| 1093932766 | Midtown Mental Center | Point of Service | 790 Bartlett Rd #28, Memphis, TN 38122 | 2007-04-20 |
| 1508988254 | Mahboubeh Sayed Taghavi | Dentist | 5126 Summer Ave Suite 101, Memphis, TN 38122 | 2007-04-04 |
| 1700977014 | Christopher M Nunnelee | Dentist | 752 National St, Memphis, TN 38122 | 2006-09-28 |
| 1508958398 | Pirani & Nunnelee Dds Plc | Dentist | 752 National St, Memphis, TN 38122 | 2006-09-29 |
| 1417048729 | Carlo B Pirani Jr. | Dentist | 752 National St, Memphis, TN 38122 | 2006-09-28 |
| 1689708067 | Michele Gaur | Speech-Language Pathologist | 940 Dwyer St, Memphis, TN 38122-1920 | 2007-03-15 |
| 1497855522 | Mary Pat Corrigan Jobes | Physical Therapist | 977 Giaroli St, Memphis, TN 38122-1934 | 2006-09-25 |
| 1649717588 | Rebecca Ruth Cox | Advanced Practice Midwife | 3638 Macon Rd, C/o The Morning Center, Memphis, TN 38122-2209 | 2017-01-30 |
| Find all providers in zip 38122 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982215778 | Bontaya Calvin | Specialist | 4305 Harvest Hill Rd, Memphis, TN 38141-6933 | 2020-08-14 |
| 1275007262 | Brianna Monique Davison | Specialist | 2725 S Mendenhall Rd Ste 3, Memphis, TN 38115-1530 | 2019-01-14 |
| 1609343862 | Tania N Combs-starks | Specialist | 3147 Frayser Raleigh Rd, Memphis, TN 38128-2716 | 2018-10-25 |
| 1770069684 | Justin Jermaine Green | Specialist | 4412 Elvis Presley Blvd, Memphis, TN 38116-6408 | 2018-07-13 |
| 1336645316 | Cheree Nicole Brown | Specialist | 1391 Elvis Presley Blvd, Memphis, TN 38106 | 2018-03-30 |
| 1023511300 | Genita Lashonda Johnson-hammond | Specialist | 4565 Quince Rd, 1b, Memphis, TN 38117 | 2018-03-14 |
| 1972016590 | Stacy Jehan Owens | Specialist | 7505 Us Highway 64 Ste 105, Memphis, TN 38133-8939 | 2017-11-06 |
| 1558800623 | Roshotta Beane | Specialist | 375 N Highland St Apt 2, Memphis, TN 38122-4513 | 2017-02-22 |
| 1588108252 | Stephania Jones | Specialist | 7505 Us Highway 64, Suite 105, Memphis, TN 38133-8947 | 2016-12-14 |
| 1336503721 | Ursula Logan | Specialist | 3564 Hickory Hill Rd, Memphis, TN 38115-3827 | 2016-04-12 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.