Provider Demographics
NPI:1699118810
Name:HAWKINS, LAKEISHA (RN)
Entity type:Individual
Prefix:MRS
First Name:LAKEISHA
Middle Name:
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 MONTROSE WEST AVE
Mailing Address - Street 2:
Mailing Address - City:COPLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44321-1372
Mailing Address - Country:US
Mailing Address - Phone:234-340-9653
Mailing Address - Fax:
Practice Address - Street 1:130 MONTROSE WEST AVE
Practice Address - Street 2:
Practice Address - City:COPLEY
Practice Address - State:OH
Practice Address - Zip Code:44321-1372
Practice Address - Country:US
Practice Address - Phone:234-340-9653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-08
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN438609163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator