Provider Demographics
NPI:1720516370
Name:ARMSTRONG, LAKENDRIS S (INDEPENDENT PROVIDER)
Entity type:Individual
Prefix:
First Name:LAKENDRIS
Middle Name:S
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:INDEPENDENT PROVIDER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:873 E 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43211-2721
Mailing Address - Country:US
Mailing Address - Phone:614-778-4564
Mailing Address - Fax:
Practice Address - Street 1:873 E 12TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43211-2721
Practice Address - Country:US
Practice Address - Phone:614-778-4564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-26
Last Update Date:2023-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH376J00000X
OH1720516370376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker