Higginbotham, Lakecia

Higginbotham, Lakecia is an individual health care provider with primary practice located at 9339 Louise Ave , Northridge CA 91325-2427. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Higginbotham, Lakecia can be contacted via phone (818) 477-2874.

Contact Information

Primary practice address
9339 Louise Ave Northridge CA 91325-2427
Phone: (818) 477-2874
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X California

Profile Details

NPI number 1326268426
LBN Legal business name Higginbotham, Lakecia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2007
Last updated Nov 21st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326268426 NPPES
California Other 7030 PROVIDER NUMBER

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