Provider Demographics
NPI:1659247369
Name:SANDERS, LAKIESHA ANN (STNA, CMA)
Entity type:Individual
Prefix:MS
First Name:LAKIESHA
Middle Name:ANN
Last Name:SANDERS
Suffix:
Gender:F
Credentials:STNA, CMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:838 HEATHERSTONE DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-2543
Mailing Address - Country:US
Mailing Address - Phone:513-498-5600
Mailing Address - Fax:
Practice Address - Street 1:838 HEATHERSTONE DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-2543
Practice Address - Country:US
Practice Address - Phone:513-498-5600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-11
Last Update Date:2025-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRZ839882171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty