Provider Demographics
NPI:1699239343
Name:LAFITTE, SHEMIKA (HAIR LOSS SPECIALIST)
Entity type:Individual
Prefix:
First Name:SHEMIKA
Middle Name:
Last Name:LAFITTE
Suffix:
Gender:F
Credentials:HAIR LOSS SPECIALIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:429 CANARY LN
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-7162
Mailing Address - Country:US
Mailing Address - Phone:469-658-5817
Mailing Address - Fax:
Practice Address - Street 1:712 N HAMPTON RD STE 110
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-4540
Practice Address - Country:US
Practice Address - Phone:469-658-5817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-28
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist